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PINSKI DERMATOLOGY & COSMETIC SURGERY SC
NPI 1023264967
Dermatology in Bourbonnais, IL

Active since August 12, 2008CLIA 14D2010138 · Certificate of Compliance
374 LARRY POWER RD, BOURBONNAIS, IL 60914(815) 933-2227 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pinski Dermatology & Cosmetic Surgery Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINSKI DERMATOLOGY & COSMETIC SURGERY SC (NPI 1023264967) is a healthcare organization registered as a dermatology in Bourbonnais, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Certificate of Compliance certificate valid through February 21, 2027 and lists Ashley F Riemerts, Manager, as its authorized official.

NPPES Registry Identity

NPI1023264967
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePINSKI DERMATOLOGY & COSMETIC SURGERY SC
Location Address374 LARRY POWER RDBourbonnais, IL 60914-5187
Mailing Address374 Larry Power RdBourbonnais, IL 60914-5187 · (815) 933-2227
Phone(815) 933-2227
Organization SubpartNo
Authorized OfficialAshley F RiemertsManager · (312) 263-4625
Enumeration DateAugust 12, 2008
Last NPPES UpdateJanuary 29, 2020
✔ NPI 1023264967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 042000198
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
374 LARRY POWER RD, Bourbonnais, IL 60914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 14D2010138

Pinski Dermatology & Cosmetic Surgery · Bourbonnais, IL
Active · expires Feb 21, 2027
CLIA Number14D2010138
Laboratory TypePhysician Office
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorKevin S. Pinski
Laboratory Phone(815) 933-2227
Laboratory LocationPinski Dermatology & Cosmetic Surgery374 Larry Power Drive, Bourbonnais, IL 60914
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PETER ANGELO KEORPES PA-C
Physician Assistant (Medical)
374 LARRY POWER RD
BOURBONNAIS, IL 60914
Kankakee County (815) 933-2227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pinski Dermatology & Cosmetic Surgery Sc's NPI number?

The NPI number for Pinski Dermatology & Cosmetic Surgery Sc is 1023264967. It was assigned to this organization in the NPPES registry on August 12, 2008.

Where is Pinski Dermatology & Cosmetic Surgery Sc located?

Pinski Dermatology & Cosmetic Surgery Sc is located at 374 Larry Power Rd, Bourbonnais, IL 60914. The listed phone number is (815) 933-2227.

What is Pinski Dermatology & Cosmetic Surgery Sc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Pinski Dermatology & Cosmetic Surgery Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D2010138) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pinski Dermatology & Cosmetic Surgery Sc was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.