Illinois Dermatology Institute, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ILLINOIS DERMATOLOGY INSTITUTE, LLC

Practice address

9711 Skokie Blvd
Suite J.
Skokie, IL 60077-1384

Phone

(847) 675-9711

NPI assigned

May 19, 2009

Last updated

May 28, 2025By 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

Keith A. Lopatka, MDNPI 1770509648

Title

President

Phone

(708) 218-5874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

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 60

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.

• Keith Alan Lopatka, M.D.

  • Dermatology Physician
  • Palos Heights, IL
  • NPI 1770509648
  Medicare reassignment Care Compare group Authorized official
• Christopher Logas, DO

  • Dermatology Physician
  • Chicago, IL
  • NPI 1780140640
  Medicare reassignment Care Compare group NPD
• Tia Marie Pyle, MD

  • Dermatology Physician
  • Tinley Park, IL
  • NPI 1336528835

  IN

  Medicare reassignment Care Compare group NPD
• Meghan McKeever Quirke, MSN, APRN. FNP-BC

  • Nurse Practitioner
  • Winnetka, IL
  • NPI 1891321188
  Medicare reassignment Care Compare group NPD
• Danielle Marie Sandoval, PA-C

  • Medical Physician Assistant
  • Chicago, IL
  • NPI 1467706606
  Medicare reassignment Care Compare group NPD
• Vinaya Ramesh Soundararajan, MD

  • Dermatology Physician
  • La Grange, IL
  • NPI 1427611565
  Medicare reassignment Care Compare group NPD
• Joy Tao, MD

  • Dermatology Physician
  • Hines, IL
  • NPI 1992365696
  Medicare reassignment Care Compare group NPD
• Amanda Lynn Alberding, ANP

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1346597630
  Medicare reassignment Care Compare group NPD
• Benjamin Gier

  • Physician Assistant
  • Traverse City, MI
  • NPI 1437528478

  IL

  Medicare reassignment Care Compare group NPD
• Chad Alan Glazer, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Michigan City, IN
  • NPI 1609915503
  Medicare reassignment Care Compare group NPD
• Melanie Lynn Haney, NP

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1851437859
  Medicare reassignment Care Compare group NPD
• Sarah Sue Humes, FNP

  • Family Nurse Practitioner
  • South Bend, IN
  • NPI 1962902254
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1891920898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 COMMERCE DR STE 302",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238830",
            "telephone_number": "847-769-3539",
            "fax_number": "708-671-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 SKOKIE BLVD",
            "address_2": "SUITE J.",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771384",
            "telephone_number": "847-675-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS DERMATOLOGY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "LOPATKA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-218-5874",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.