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PINNACLE DERMATOLOGY SC NPI 1861930984


NPI Information

NPI: 1861930984
Provider Name: PINNACLE DERMATOLOGY, SC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 14D1030241

Address:
1124 ESSINGTON RD
JOLIET, IL
ZIP 60435
Phone: (815) 744-8554
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PINNACLE DERMATOLOGY, SC is a mohs-micrographic surgery dermatology in Joliet, IL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. PINNACLE DERMATOLOGY, SC NPI is 1861930984. The provider is registered as an organization entity type.

The provider's business location address is:

1124 ESSINGTON RD
JOLIET, IL
ZIP 60435-423
Phone: (815) 744-8554
Fax: (815) 744-3969

The provider's authorized official is Jose L Rios .
The authorized official title is Vice-president and has the following contact phone number (630) 388-9033.

The CLIA number assigned to this NPI record is 14D1030241 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/9/2017 and was last updated on 9/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3208200000XPlastic Surgery036109103ILLINOISNo
4207ND0101XDermatologyMOHS-Micrographic Surgery036108932ILLINOISYes

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: 11/14/2023

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