OrganizationActive
Southwest Dermatology, PC
NPI 1235374919 · Dermatology Physician · Chicago, IL
Provider details
- NPI number
- 1235374919
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Moreno, Credentialing Specialist(773) 586-4506
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7123 W Archer Ave
Chicago, IL 60638-2203
Phone: (773) 586-4506
Street-level locationGet directions
Mailing address
7123 W Archer Ave
Chicago, IL 60638-2203
Registry dates
- Enumerated
- 2008-12-09
- Last updated
- 2008-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.