OrganizationActive
Vitalskin Medical Group Il PLLC
NPI 1417657321 · Dermatology Physician · Chicago, IL
Provider details
- NPI number
- 1417657321
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeremy Youse, Chief Medical Director(415) 802-1310
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
1765 N Elston Ave Ste 110
Chicago, IL 60642-1501
Phone: (773) 276-1100
Street-level locationGet directions
Mailing address
1111 W Kenyon Rd
Urbana, IL 61801-1004
Additional practice locations (6)
- 374 Larry Power RdBourbonnais, IL 60914-5187Phone: (815) 933-2227
- 150 N Michigan Ave Ste 1200Chicago, IL 60601-7605Phone: (312) 263-4625
- 680 N Lake Shore Dr Ste 930Chicago, IL 60611-8700Phone: (312) 861-3911
- 1733 N Harlem AveChicago, IL 60707-4305Phone: (773) 237-6666
- 908 N Elm St Ste 300Hinsdale, IL 60521-3625Phone: (630) 455-1756
- 2435 Dean St Ste 2eSt Charles, IL 60175-4827Phone: (630) 433-7800
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.