LOOP DERMATOLOGY & ACNE CARE CENTER LLC
NPI 1104093483
Clinic/Center in Chicago, IL
NPI Status: Active since May 14, 2008
Contact Information
111 N WABASH AVE
SUITE 2001
CHICAGO, IL
ZIP 60602
Phone: (312) 519-1465
- Organization
- Clinic/Center
- CLIA Number: 14D2150234
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-19-2026
About LOOP DERMATOLOGY & ACNE CARE CENTER LLC
This page provides the complete NPI Profile along with additional information for Loop Dermatology & Acne Care Center Llc, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104093483 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 03610878 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Michele Burgess Md (Owner)
- NPI
- 1104093483
- Provider Name
- LOOP DERMATOLOGY & ACNE CARE CENTER LLC
- Entity Type
- Organization
- Location Address
- 111 N WABASH AVE SUITE 2001 CHICAGO, IL 60602
- Location Phone
- (312) 519-1465
- Mailing Address
- 111 N WABASH AVE SUITE 2001 CHICAGO, IL 60602
- Mailing Phone
- (312) 519-1465
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 11-06-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 03610878
- License State
- IL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| H89366 | MEDICARE UPIN (02) | IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2150234
- Facility Type
- Physician Office
- Certificate Effective Date
- June 20, 2024
- Certificate Expiration Date
- June 19, 2026
- Laboratory Director
- AHMAD AMIN M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Loop Dermatology & Acne Care Center Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104093483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
CHICAGO, IL 60602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104093483, enumerated as an "organization" on May 14, 2008.
The provider is located at 111 N WABASH AVE SUITE 2001 CHICAGO, IL 60602 and the phone number is (312) 519-1465.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
