Pure Skinology LLC
NPI 1649807074 · Medical Specialty Clinic/Center · Chicago, IL
Pure Skinology LLC is a Medical Specialty Clinic/Center organization in Chicago, IL (NPI 1649807074).
Provider details
- NPI number
- 1649807074
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Othman, President(312) 600-5826
Specialties & taxonomies
Ambulatory Health Care Facilities
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
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
- 2020-03-25
- Last updated
- 2020-07-15
- Certified
- 2020-07-15
Frequently asked questions
- What is Pure Skinology LLC's NPI number?
- Pure Skinology LLC's National Provider Identifier (NPI) is 1649807074, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Skinology LLC?
- Pure Skinology LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pure Skinology LLC located?
- Pure Skinology LLC's practice location on file with NPPES is 2202 N. Halsted St, Suite 1, Chicago, IL 60614.
- What is Pure Skinology LLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Skinology LLC is (773) 270-1133.
- Who is the authorized official for Pure Skinology LLC?
- The authorized official listed on Pure Skinology LLC's NPPES record is David Othman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Skinology LLC's NPI active?
- Yes — Pure Skinology LLC's NPI (1649807074) is active in the NPPES registry as of the last update on 2020-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.