Medical Dermatology Associates of Chicago, LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MEDICAL DERMATOLOGY ASSOCIATES OF CHICAGO, LTD

Practice address

363 W Erie St
Suite 350
Chicago, IL 60654-6903

Phone

(312) 995-1955

Fax

(312) 995-1956

NPI assigned

Jan 13, 2015

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Lio, M.D.NPI 1497787923

Title

President

Phone

(312) 995-1955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

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.

• Peter A Lio, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1497787923
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin C Garden, M.D.

  • Dermatology Physician
  • Skokie, IL
  • NPI 1699193334
  Medicare reassignment Care Compare group NPD
• Jerome Mark Garden, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1326187295
  Medicare reassignment Care Compare group NPD
• Sarah Kasprowicz, M.D.

  • Dermatology Physician
  • Skokie, IL
  • NPI 1760659981
  Medicare reassignment Care Compare group NPD
• Victoria Catherine Kuritza

  • Dermatology Physician
  • Park Ridge, IL
  • NPI 1174151765
  Medicare reassignment Care Compare group NPD
• Ross Pearlman

  • MOHS-Micrographic Surgery Physician
  • Chicago, IL
  • NPI 1144726555
  Medicare reassignment Care Compare group NPD
• Neill T Peters, M.D.

  • Dermatology Physician
  • Chicago, IL
  • NPI 1215912795
  Medicare reassignment Care Compare group
• Smita Aggarwal

  • Dermatology Physician
  • Chicago, IL
  • NPI 1083997142
  Medicare reassignment NPD
• Molly Amory Stout, MD

  • Dermatology Physician
  • Chicago, IL
  • NPI 1942730148
  Medicare reassignment NPD
• Camila Antia, MD

  • Dermatology Physician
  • Bellaire, TX
  • NPI 1457746562

  IL

  Medicare reassignment NPD
• Pooja Chitgopeker, M.D.

  • MOHS-Micrographic Surgery Physician
  • Iowa City, IA
  • NPI 1831453463

  Dermatology, IL

  Medicare reassignment NPD
• Megan Marie Parsons, FNP-BC

  • Family Nurse Practitioner
  • Northbrook, IL
  • NPI 1285431858
  NPD

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1801285929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W ERIE ST",
            "address_2": "SUITE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546903",
            "telephone_number": "312-995-1955",
            "fax_number": "312-995-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W ERIE ST",
            "address_2": "SUITE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546903",
            "telephone_number": "312-995-1955",
            "fax_number": "312-995-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DERMATOLOGY ASSOCIATES OF CHICAGO, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "LIO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-995-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.