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PINNACLE DERMATOLOGY, S.C.
NPI 1093642829
Non-Pharmacy Dispensing Site in Orland Park, IL

Active since May 06, 2026
10720 165TH ST, ORLAND PARK, IL 60467(708) 460-7890 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinnacle Dermatology, S.c. NPPES

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

PINNACLE DERMATOLOGY, S.C. (NPI 1093642829) is a healthcare organization registered as a non-pharmacy dispensing site in Orland Park, Illinois and active in the NPI registry since May 2026. The organization lists Dana Conner, Director Supply Chain And Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1093642829
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePINNACLE DERMATOLOGY, S.C.
Location Address10720 165TH STOrland Park, IL 60467-8714
Mailing Address5141 Virginia Way Ste 350Brentwood, TN 37027-2319 · (615) 250-6723
Phone(708) 460-7890
Organization SubpartNo
Authorized OfficialDana ConnerDirector Supply Chain And Pharmacy · (615) 457-8143
Enumeration DateMay 6, 2026
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1093642829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
10720 165TH ST, Orland Park, IL 60467
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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 14D2140742

Pinnacle Dermatology · Orland Park, IL
Expired · Jul 31, 2026
CLIA Number14D2140742
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMaxim Polansky
Laboratory Phone(708) 460-7890
Laboratory LocationPinnacle Dermatology10720 165th Street, Orland Park, IL 60467
CLIA data matches this NPI record on: Address 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 2

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

PINNACLE DERMATOLOGY, SC
Non-Pharmacy Dispensing Site
10720 165TH ST
ORLAND PARK, IL 60467
Cook County (708) 460-7890
MS. AMY GOLASZEWSKI PA-C
Physician Assistant
10720 165TH ST
ORLAND PARK, IL 60467
Cook County (708) 460-7890

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 Pinnacle Dermatology, S.C.'s NPI number?

The NPI number for Pinnacle Dermatology, S.C. is 1093642829. It was assigned to this organization in the NPPES registry on May 6, 2026.

Where is Pinnacle Dermatology, S.C. located?

Pinnacle Dermatology, S.C. is located at 10720 165th St, Orland Park, IL 60467. The listed phone number is (708) 460-7890.

What is Pinnacle Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Pinnacle Dermatology, S.C. was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.