Northside Dermatology, S.c.
NPI 1861943888 · Medical Specialty Clinic/Center · Chicago, IL
Northside Dermatology, S.c. is a Medical Specialty Clinic/Center organization in Chicago, IL (NPI 1861943888).
Provider details
- NPI number
- 1861943888
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Ida, Practice Owner(773) 293-7500
- License
- 036.132972 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-10-14
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Northside Dermatology, S.c.'s NPI number?
- Northside Dermatology, S.c.'s National Provider Identifier (NPI) is 1861943888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Dermatology, S.c.?
- Northside Dermatology, S.c. is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Northside Dermatology, S.c. located?
- Northside Dermatology, S.c.'s practice location on file with NPPES is 1663 W Carmen Ave, Chicago, IL 60640-2701.
- What is Northside Dermatology, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Northside Dermatology, S.c. is (312) 420-7409.
- Who is the authorized official for Northside Dermatology, S.c.?
- The authorized official listed on Northside Dermatology, S.c.'s NPPES record is James Ida, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Dermatology, S.c.'s NPI active?
- Yes — Northside Dermatology, S.c.'s NPI (1861943888) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.