Cosmetic Dermatology&surgerypc
NPI 1629260039 · Procedural Dermatology Physician · Olympia Fields, IL
Cosmetic Dermatology&surgerypc is a Procedural Dermatology Physician organization in Olympia Fields, IL (NPI 1629260039).
Provider details
- NPI number
- 1629260039
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vladimir Panine, Owner(708) 481-9370
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
18 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
- 2007-08-10
- Last updated
- 2007-09-12
Frequently asked questions
- What is Cosmetic Dermatology&surgerypc's NPI number?
- Cosmetic Dermatology&surgerypc's National Provider Identifier (NPI) is 1629260039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cosmetic Dermatology&surgerypc?
- Cosmetic Dermatology&surgerypc is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Cosmetic Dermatology&surgerypc located?
- Cosmetic Dermatology&surgerypc's practice location on file with NPPES is 2605 Lincoln Hwy, Olympia Fields, IL 60461-1846.
- What is Cosmetic Dermatology&surgerypc's phone number?
- The practice phone number listed in the NPPES registry for Cosmetic Dermatology&surgerypc is (708) 481-9370.
- Who is the authorized official for Cosmetic Dermatology&surgerypc?
- The authorized official listed on Cosmetic Dermatology&surgerypc's NPPES record is Vladimir Panine, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cosmetic Dermatology&surgerypc's NPI active?
- Yes — Cosmetic Dermatology&surgerypc's NPI (1629260039) is active in the NPPES registry as of the last update on 2007-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.