DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC
NPI 1114063591
Dermatology in Northbrook, IL
About Dermatology Partners Of The North Shore Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY PARTNERS OF THE NORTH SHORE LLC (NPI 1114063591) is a healthcare organization registered as a dermatology in Northbrook, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2027 and lists Jeffrey C Draluck, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Partners Of The North Shore Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Dermatology Partners Of The North Shore LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D0964857
Dermatology Partners Of The North Shore · Northbrook, ILFrequently 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 Dermatology Partners Of The North Shore LLC's NPI number?
The NPI number for Dermatology Partners Of The North Shore LLC is 1114063591. It was assigned to this organization in the NPPES registry on January 30, 2007.
Where is Dermatology Partners Of The North Shore LLC located?
Dermatology Partners Of The North Shore LLC is located at 400 Skokie Blvd Suite 475, Northbrook, IL 60062. The listed phone number is (847) 272-4433.
What is Dermatology Partners Of The North Shore LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Partners Of The North Shore LLC enrolled in Medicare?
Yes. Dermatology Partners Of The North Shore LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Partners Of The North Shore LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology Partners Of The North Shore LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (12), Pathology (2) and Nurse Practitioner (1). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Partners Of The North Shore LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D0964857) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Partners Of The North Shore LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) list Dermatology Partners Of The North Shore LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dermatology Partners Of The North Shore LLC was last updated on January 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dermatology Partners Of The North Shore Llc · NPI 1114063591
Dermatology organization in Northbrook, Illinois. Organization record, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1114063591 (Entity type: Organization)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jeffrey Draluck, MEMBER
## Practice location
- **Address:** 400 SKOKIE BLVD, SUITE 475, Northbrook, IL 60062-7930
- **Phone:** (847) 272-4433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (12), Pathology (2), Nurse Practitioner (1); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2013
- **Other identifiers:** Medicare ID-Type Unspecified 549020 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114063591) · Data from the CMS NPPES public registry.