Derm Institute of Chicago – Dermatology Physician, NPI 1710531330
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Derm Institute of Chicago
125, West 2nd Street, Hinsdale, DuPage County, Illinois, 60521, United States
HINSDALE, IL 605214014
Phone: (312) 319-1978
Type: Location
1945 W Wilson Ave Ste 6119
Chicago, IL 606405259
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
920 N York Rd Ste 100
Hinsdale, IL 605213515
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
4905 Old Orchard Ctr Lowr Level
Skokie, IL 600771458
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
West Grand Avenue, Humboldt Park, Chicago, Cook County, Illinois, 60651, United States
CHICAGO, IL 606121577
Phone:
Type: Mailing
680 N LAKE SHORE DR STE 1425
CHICAGO, IL 606114451
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Mailing
920 N YORK RD STE 100
HINSDALE, IL 605213515
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Mailing
737 N MICHIGAN AVE STE 720
CHICAGO, IL 606116661
Phone: (312) 319-1978
Fax: (312) 262-7791
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (618 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190924002454 | O | Clinic/Group Practice | IL | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60521)
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