Chicago Cosmetic Surgery and Dermatology Sc
NPI 1407068000 · Dermatology Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chicago Cosmetic Surgery and Dermatology Sc is a Dermatology Physician organization in Chicago, IL (NPI 1407068000).
Provider details
- NPI number
- 1407068000
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Jacob, Medical Director(312) 245-9965
- License
- 036-102098 (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
19 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
- 2007-05-04
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Chicago Cosmetic Surgery and Dermatology Sc's NPI number?
- Chicago Cosmetic Surgery and Dermatology Sc's National Provider Identifier (NPI) is 1407068000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicago Cosmetic Surgery and Dermatology Sc?
- Chicago Cosmetic Surgery and Dermatology Sc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Chicago Cosmetic Surgery and Dermatology Sc located?
- Chicago Cosmetic Surgery and Dermatology Sc's practice location on file with NPPES is 515 N State St Ste 900, Chicago, IL 60654-9104.
- What is Chicago Cosmetic Surgery and Dermatology Sc's phone number?
- The practice phone number listed in the NPPES registry for Chicago Cosmetic Surgery and Dermatology Sc is (312) 245-9965.
- Does Chicago Cosmetic Surgery and Dermatology Sc accept Medicare?
- Chicago Cosmetic Surgery and Dermatology 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 Chicago Cosmetic Surgery and Dermatology Sc?
- The authorized official listed on Chicago Cosmetic Surgery and Dermatology Sc's NPPES record is Carolyn Jacob, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicago Cosmetic Surgery and Dermatology Sc's NPI active?
- Yes — Chicago Cosmetic Surgery and Dermatology Sc's NPI (1407068000) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.