Individual provider Active NPI

Sarah Kasprowicz, M.D.

  • Dermatology Physician
  • Skokie, IL
National Provider Identifier
1760659981
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.120795 Issued in IL
Practice address
9933 Woods Dr
Suite 200
Skokie, IL 60077-1049
Phone
(847) 663-8060
NPI assigned
May 15, 2008
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036.120795 IL Primary

Addresses

Primary practice location

9933 Woods Dr
Suite 200
Skokie, IL 60077-1049

Mailing address

1130 N Dearborn St
Apt. #1008
Chicago, IL 60610-2756

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
I20080917000117 IL Practitioner - Dermatology 6901973908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Dermatology Associates of Chicago LTDGroup PAC ID 0042539702, 7 clinicians

Practice addresses (Care Compare)

363 W Erie St
Suite 350
Chicago, IL 60654-6933
Phone (312) 922-1955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions146
Skin biopsy173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.120795ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Dermatology Associates of Chicago, LTD Dermatology CurrentSince Mar 1, 2015 Accepting new patients

Locations

363 W Erie St
Ste 350
Chicago, IL 60654
Phone (312) 922-1955

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1760659981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N DEARBORN ST",
            "address_2": "APT. #1008",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 WOODS DR",
            "address_2": "SUITE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771049",
            "telephone_number": "847-663-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPROWICZ",
        "first_name": "SARAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.120795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.