Individual provider Active NPI

Joy Tao, MD

  • Dermatology Physician
  • Hines, IL
National Provider Identifier
1992365696
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
125075564 Issued in IL
Practice address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone
(708) 202-8387
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 125075564 IL Primary
Dermatology Physician 207N00000X 322580 NY

Addresses

Primary practice location

5000 S 5TH Ave
Hines, IL 60141-3030

Mailing address

5000 S 5TH Ave FL 4
Hines, IL 60141-3030

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
I20240823002040 IL Practitioner - Dermatology 5799105078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Loyola University of Chicago, Stritch School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Dermatology Institute, LLCGroup PAC ID 7911043054, 51 clinicians
Chicago Cosmetic Surgery and Dermatology SCGroup PAC ID 8325005150, 8 clinicians

Practice addresses (Care Compare)

1900 E Golf Rd
Suite L125
Schaumburg, IL 60173-5831
Phone (847) 364-4717

515 N State St
Suite 900
Chicago, IL 60654-9104
Phone (312) 245-9965

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125075564ILMDDermatology Physician
322580NYMDCustodial Care Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Dermatology Institute, LLC Dermatology CurrentSince Feb 16, 2026 Accepting new patients
Chicago Cosmetic Surgery and Dermatology SC Dermatology CurrentSince Sep 3, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Derick Dermatology, PLLC Dermatology PastSince Jul 1, 2024 Accepting new patients

Locations

2622 Momentum Pl
Chicago, IL 60689

515 N State St
Ste 900
Chicago, IL 60654
Phone (312) 245-9965

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

1550 N Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (847) 298-1831

1900 E Golf Rd
Ste L125
Schaumburg, IL 60173
Phone (847) 364-4717

Interoperability endpoints

  • Direct secure messaging: jtao85437@direct.luhs.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1992365696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE FL 4",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125075564",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "322580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

Verify at the official NPI Registry.