Dermatology Associates of Oakbrook Terrace SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF OAKBROOK TERRACE SC

Practice address

1 South 224 Summit Ave. Suite 106
Oakbrook Terrace, IL 60181

Phone

(630) 953-1190

Fax

(630) 953-1102

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Virginia Therese Allen, M.D.NPI 1356423651

Title

President

Phone

(630) 953-1190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Virginia Therese Allen, M.D.

  • Dermatology Physician
  • Oakbrook Terrace, IL
  • NPI 1356423651
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Arlene Ferraro

  • Physician Assistant
  • Oakbrook Terrace, IL
  • NPI 1124599592
  Medicare reassignment Care Compare group
• Julie Mather Jourdan, PA-C

  • Physician Assistant
  • Oakbrook Terrace, IL
  • NPI 1962647917
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1962897629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH 224 SUMMIT AVE",
            "address_2": "SUITE 106",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-953-1190",
            "fax_number": "630-953-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH 224 SUMMIT AVE. SUITE 106",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-953-1190",
            "fax_number": "630-953-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF OAKBROOK TERRACE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-953-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Chua, MD SC LTD
• Emily Davis, PA-C
• Bradley S Degroot, DDS
• Dental Care of Oakbrook, P.C
• Dental Town
• Ola D Dickens, RT
• Brenton Diers, LCSW
• Phyllis A. Dixon, DDS
• Jahangeer Hameed Dogar, M.D.
• Meagan Donner

• Dermatology Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, 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 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.