OrganizationActive
Advanced Dermatology Clinic, Inc.
NPI 1881167278 · Dermatology Physician · Freeport, IL
Provider details
- NPI number
- 1881167278
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Dermatology, Inc.
- Organization subpart
- Yes
- Authorized official
- Harry Sharata, Medical Director(608) 826-0285
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1036 W Stephenson St
Freeport, IL 61032-4865
Phone: (888) 423-7880
Fax: (608) 826-0281
Street-level locationGet directions
Mailing address
6510 Grand Teton Plz Ste 302
Madison, WI 53719-1029
Registry dates
- Enumerated
- 2019-01-08
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.