Organization Active NPI

LK Dermatology, PLLC

  • Dermatology Physician
  • Hinsdale, IL
National Provider Identifier
1720844517
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LK DERMATOLOGY, PLLC
Practice address
21 W 2ND St
Hinsdale, IL 60521-1700
Phone
(630) 463-9141
NPI assigned
Feb 28, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lana Kashlan, MDNPI 1336371350
Title
President
Phone
(812) 243-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

21 W 2ND St
Hinsdale, IL 60521-1700

Mailing address

305 Ambriance Dr
Burr Ridge, IL 60527-0803

National Provider Directory

National Provider Directory

Locations

21 W 2nd St
Hinsdale, IL 60521
Phone (630) 463-9141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1720844517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 AMBRIANCE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W 2ND ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605211700",
            "telephone_number": "630-463-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LK DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "KASHLAN",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-243-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.