Derick Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

36112935 Issued in IL

Legal business name

DERICK DERMATOLOGY, PLLC

Practice address

353 Bank Dr Ste 400
McHenry, IL 60050-0506

Phone

(847) 381-8899

Fax

(847) 381-8999

NPI assigned

Apr 27, 2018

Organization subpart

No

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

Authorized official

Name

Amy Derick, M.D.

Title

Medical Director

Phone

(847) 381-8899

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Derick Dermatology, PLLC

  • Dermatology Physician
  • Crystal Lake, IL
  • NPI 1134664402

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1154998425

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Libertyville, IL
  • NPI 1174097836

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bartlett, IL
  • NPI 1225526627

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bolingbrook, IL
  • NPI 1275141251

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Brook, IL
  • NPI 1366009664

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Lindenhurst, IL
  • NPI 1376017038

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Naperville, IL
  • NPI 1386118057

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Barrington, IL
  • NPI 1386180198

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Skokie, IL
  • NPI 1447873831

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1497792618

  O20060922000130

  Same enrollment
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Orland Park, IL
  • NPI 1588232805

  O20060922000130

  Same enrollment

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bailey Ellington

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1598218125
  NPD
• Meghan Eileen Murray, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Barrington, IL
  • NPI 1376067736
  NPD

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1891283669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6685",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976685",
            "telephone_number": "847-381-8899",
            "fax_number": "847-381-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BANK DR STE 400",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600500506",
            "telephone_number": "847-381-8899",
            "fax_number": "847-381-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERICK DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "DERICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-381-8899",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "36112935",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul H Dehaan, MD
• Lauren Noelle Dekorsi
• Elizabeth Delby
• Cameron Lee Deleon
• Dental Professionals of Illinois, P.C.
• Anand R Desai, M.D.
• Neha Suresh Desai, M.D.
• Sharlette Grace Dettling
• Marliese Devereux
• Susan Lynn Devinger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.