Individual provider Active NPI

Jill Katherine Cotseones, DO

  • Dermatology Physician
  • Geneva, IL
National Provider Identifier
1740523539
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036147037 Issued in IL
Practice address
25 N 3Rd St Ste 100
Geneva, IL 60134-2388
Phone
(630) 315-6500
Fax
(630) 315-6519
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 126063661 IL
Dermatology Physician 207N00000X 036147037 IL Primary

Addresses

Primary practice location

25 N 3Rd St Ste 100
Geneva, IL 60134-2388

Mailing address

25 N 3Rd St Ste 100
Geneva, IL 60134-2388
Phone (630) 315-6500

Other practice location 1

636 Raymond Dr
Naperville, IL 60563
Phone (630) 315-6500

Other practice location 2

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914001526 IL Practitioner - Dermatology 1951604107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

885 Roosevelt Rd
Suite 301
Glen Ellyn, IL 60137-6141
Phone (630) 515-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
95.13
Promoting interoperability
100
Improvement activities
40
Cost
76.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions357
Removal or shaving of skin growth1-10
Skin biopsy175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
126063661ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C. Carqueville, MD LLC Dermatology CurrentSince Sep 25, 2023 Accepting new patients

Locations

737 N Michigan Ave
Ste 720
Chicago, IL 60611
Phone (312) 255-0110

920 N York Rd
Ste 100
Hinsdale, IL 60521
Phone (312) 319-1978

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1740523539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 3RD ST STE 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342388",
            "telephone_number": "630-315-6500",
            "fax_number": "630-315-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 3RD ST STE 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342388",
            "telephone_number": "630-315-6500",
            "fax_number": "630-315-6519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Raymond Dr",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60563",
            "country_code": "US",
            "telephone_number": "630-315-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "708-216-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTSEONES",
        "first_name": "JILL",
        "middle_name": "KATHERINE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "126063661",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036147037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.