ADVANCED DERMATOLOGYLLC NPI 1528273505

NPI Information

  • NPI: 1528273505
  • Provider Name: ADVANCED DERMATOLOGY,LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 14D1009033
  • Address: 275 PARKWAY DR
    SUITE 521
    LINCOLNSHIRE, IL
    ZIP 60069
  • Phone: (847) 459-6400

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NPI Details

ADVANCED DERMATOLOGY,LLC is a specialist in Lincolnshire, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED DERMATOLOGY,LLC NPI is 1528273505. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

275 PARKWAY DR
SUITE 521
LINCOLNSHIRE, IL
ZIP 60069-341
Phone: (847) 459-6400
Fax: (847) 459-4610

The provider's authorized official is Amy Forman Taub .
The authorized official title is Medical Director and has the following contact phone number (847) 459-6400.

The CLIA number assigned to this NPI record is 14D1009033 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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