Illinois Skin Center LLC
NPI 1588283402 · Dermatology Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Illinois Skin Center LLC is a Dermatology Physician organization in Chicago, IL (NPI 1588283402).
Provider details
- NPI number
- 1588283402
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Othman, President and Ceo(312) 600-5826
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2020-04-10
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is Illinois Skin Center LLC's NPI number?
- Illinois Skin Center LLC's National Provider Identifier (NPI) is 1588283402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Skin Center LLC?
- Illinois Skin Center LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Illinois Skin Center LLC located?
- Illinois Skin Center LLC's practice location on file with NPPES is 2202 N Halsted St Ste 1, Chicago, IL 60614-3625.
- What is Illinois Skin Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Illinois Skin Center LLC is (312) 600-5826.
- Does Illinois Skin Center LLC accept Medicare?
- Illinois Skin Center LLC 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 Illinois Skin Center LLC?
- The authorized official listed on Illinois Skin Center LLC's NPPES record is David Othman, President and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Skin Center LLC's NPI active?
- Yes — Illinois Skin Center LLC's NPI (1588283402) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.