Elderderm Sc
NPI 1245577667 · Dermatology Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elderderm Sc is a Dermatology Physician organization in Chicago, IL (NPI 1245577667).
Provider details
- NPI number
- 1245577667
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scott Phillips, President / Ceo(312) 371-7517
- License
- 36-087861 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-01-04
- Last updated
- 2013-07-18
Frequently asked questions
- What is Elderderm Sc's NPI number?
- Elderderm Sc's National Provider Identifier (NPI) is 1245577667, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elderderm Sc?
- Elderderm Sc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Elderderm Sc located?
- Elderderm Sc's practice location on file with NPPES is 400 E Randolph St, Chicago, IL 60601-7329.
- What is Elderderm Sc's phone number?
- The practice phone number listed in the NPPES registry for Elderderm Sc is (312) 371-7517.
- Does Elderderm Sc accept Medicare?
- Elderderm Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elderderm Sc?
- The authorized official listed on Elderderm Sc's NPPES record is Scott Phillips, President / Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elderderm Sc's NPI active?
- Yes — Elderderm Sc's NPI (1245577667) is active in the NPPES registry as of the last update on 2013-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.