PINNACLE DERMATOLOGY SC NPI 1861930984

NPI Information

  • NPI: 1861930984
  • Provider Name: PINNACLE DERMATOLOGY, SC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 14D1030241
  • Address: 1124 ESSINGTON RD
    JOLIET, IL
    ZIP 60435
  • Phone: (815) 744-8554

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NPI Details

PINNACLE DERMATOLOGY, SC is a dermatology in Joliet, IL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. PINNACLE DERMATOLOGY, SC NPI is 1861930984. The provider is registered as an organization entity type and is a multi-specialty group.

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 2/2/2026.

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
1208200000XPlastic Surgery036109103ILLINOISNo
2363L00000XNurse PractitionerNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4332900000XNon-Pharmacy Dispensing SiteNo
5363A00000XPhysician AssistantNo
6207ND0101XDermatologyMOHS-Micrographic SurgeryNo
7207N00000XDermatologyYes

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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