NORTH BRANCH DERMATOLOGY LLC
NPI 1154721348
Dermatology in Niles, IL
About North Branch Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH BRANCH DERMATOLOGY LLC (NPI 1154721348) is a healthcare organization registered as a dermatology in Niles, Illinois and active in the NPI registry since August 2014. The organization holds a CLIA Certificate of Compliance certificate valid through October 23, 2026 and lists Elizabeth N. Fahrenbach, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 14D2081489
North Branch Dermatology · Niles, ILOther Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NILES, IL 60714
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 North Branch Dermatology LLC's NPI number?
The NPI number for North Branch Dermatology LLC is 1154721348. It was assigned to this organization in the NPPES registry on August 26, 2014.
Where is North Branch Dermatology LLC located?
North Branch Dermatology LLC is located at 7411 N Milwaukee Ave, Niles, IL 60714. The listed phone number is (773) 763-6000.
What is North Branch Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does North Branch Dermatology LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D2081489) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for North Branch Dermatology LLC was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.