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DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD
NPI 1144610080
Dermatology in Algonquin, IL

Active since January 30, 2015CLIA 14D2094919 · Certificate of Compliance
2430 ESPLANADE DRIVE, SUITE B, ALGONQUIN, IL 60102(212) 627-6515 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatology Specialists Of Illinois, Ltd NPPES

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

DERMATOLOGY SPECIALISTS OF ILLINOIS, LTD (NPI 1144610080) is a healthcare organization registered as a dermatology in Algonquin, Illinois and active in the NPI registry since January 2015. The organization holds a CLIA Certificate of Compliance certificate valid through June 20, 2027 and lists Vikram Khanna, President, as its authorized official.

NPPES Registry Identity

NPI1144610080
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF ILLINOIS, LTD
Location Address2430 ESPLANADE DRIVE, SUITE BAlgonquin, IL 60102
Mailing Address2430 Esplanade Drive, Suite BAlgonquin, IL 60102
Phone(212) 627-6515
Organization SubpartNo
Authorized OfficialVikram KhannaPresident · (847) 528-1177
Enumeration DateJanuary 30, 2015
Last NPPES UpdateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1144610080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2430 ESPLANADE DRIVE, Algonquin, IL 60102
Open in Google Maps ↗

Other Identifiers 1

Medicaid1093219610IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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 Specialists Of Illinois, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Dermatology Specialists Of Illinois, Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Pathology6
Dermatology4
Nurse Practitioner1

Clinicians, nearest first (11)

Lauren Boshnick, MD
Dermatology
NPI 1093219610
2430 ESPLANADE DR STE B
Algonquin, IL 60102
(847) 458-7546
✔ PECOS✔ Accepts MedicareSame address
Vikram Khanna, MD
Dermatology
NPI 1598824732
2430 ESPLANADE DRIVE SUITE B
Algonquin, IL 60102
(847) 458-7546
✔ PECOS✔ Accepts MedicareSame address
Kelly Davis, APN
Nurse Practitioner
NPI 1265109409
2500 W HIGGINS RD STE 1040
Hoffman Estates, IL 60169
(847) 884-8096
✔ PECOS✔ Accepts Medicare12 mi
Jie Song, M.D.
Pathology
NPI 1114223351
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 737-7719
✔ PECOS✔ Accepts Medicare24 mi
Wenhua Liu
Pathology
NPI 1366591729
28100 N ASHLEY CIR STE 106
Libertyville, IL 60048
(847) 996-1030
✔ PECOS✔ Accepts Medicare24 mi
Michael Viglione, MD PHD
Pathology
NPI 1073581146
660 NORTH WESTMORELAND LAKE FOREST HOSPITAL
Lake Forest, IL 60045
(847) 234-0049
✔ PECOS25 mi
David Othman, M.D., M.H.S.A
Dermatology
NPI 1760741938
2202 N HALSTED ST STE 1
Chicago, IL 60614
(312) 600-5826
✔ PECOS✔ Accepts Medicare39 mi
Adam Levin
Dermatology
NPI 1952862468
1090 N SHOOP AVE
Wauseon, OH 43567
(419) 330-5200
✔ PECOS✔ Accepts Medicare221 mi
David Arps, M.D.
Pathology
NPI 1770804312
1500 E MEDICAL CENTER DRIVE 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
Ann Arbor, MI 48109
(800) 862-7284
✔ PECOS✔ Accepts Medicare237 mi
Kristen Paral, M.D.
Pathology
NPI 1508177668
40 DUKE MEDICINE CIR
Durham, NC 27710
(919) 684-8815
✔ PECOS✔ Accepts Medicare659 mi
Timothy Tan, D.O.
Pathology
NPI 1205272507
2815 EASTLAKE AVE E STE 240
Seattle, WA 98102
(503) 906-7300
✔ PECOS✔ Accepts Medicare1,696 mi

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 14D2094919

Dermatology Specialists Of Il · Algonquin, IL
Active · expires Jun 20, 2027
CLIA Number14D2094919
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorVikram Khanna
Laboratory Phone(847) 458-7546
Laboratory LocationDermatology Specialists Of Il2430 Esplande Dr, Algonquin, IL 60102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermatology Specialists Of Illinois, Ltd's NPI number?

The NPI number for Dermatology Specialists Of Illinois, Ltd is 1144610080. It was assigned to this organization in the NPPES registry on January 30, 2015.

Where is Dermatology Specialists Of Illinois, Ltd located?

Dermatology Specialists Of Illinois, Ltd is located at 2430 Esplanade Drive Suite B, Algonquin, IL 60102. The listed phone number is (212) 627-6515.

What is Dermatology Specialists Of Illinois, Ltd's specialty?

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

Is Dermatology Specialists Of Illinois, Ltd enrolled in Medicare?

Yes. Dermatology Specialists Of Illinois, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Specialists Of Illinois, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology Specialists Of Illinois, Ltd. 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 Pathology (6), Dermatology (4) and Nurse Practitioner (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Specialists Of Illinois, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D2094919) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Specialists Of Illinois, Ltd accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 35 other insurers list Dermatology Specialists Of Illinois, Ltd 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 Specialists Of Illinois, Ltd was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.