NORTH BRANCH DERMATOLOGY LLC
NPI 1154721348
Dermatology in Niles, IL

Active since August 26, 2014CLIA 14D2081489 · Certificate of Compliance
7411 N MILWAUKEE AVE, NILES, IL 60714(773) 763-6000(773) 763-6006 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1154721348
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTH BRANCH DERMATOLOGY LLC
Location Address7411 N MILWAUKEE AVENiles, IL 60714-3707
Mailing Address7411 N Milwaukee AveNiles, IL 60714-3707 · (773) 763-6000 · Fax (773) 763-6006
Fax(773) 763-6006
Organization SubpartNo
Authorized OfficialElizabeth N. FahrenbachOwner · (847) 254-2193
Enumeration DateAugust 26, 2014
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1154721348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036133358
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.

7411 N MILWAUKEE AVE, Niles, IL 60714

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, IL
Active · expires Oct 23, 2026
CLIA Number14D2081489
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorElizabeth N. Fahrenbach
Laboratory Phone(773) 763-6000
Laboratory LocationNorth Branch Dermatology7411 N Milwaukee Ave, Niles, IL 60714
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 6

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

Physician Assistant
7411 N MILWAUKEE AVE
NILES, IL 60714
Internal Medicine (Rheumatology)
7411 N MILWAUKEE AVE
NILES, IL 60714
Dermatology
7411 N MILWAUKEE AVE
NILES, IL 60714
Dermatology
7411 N MILWAUKEE AVE
NILES, IL 60714
Nurse Practitioner (Gerontology)
7411 N MILWAUKEE AVE
NILES, IL 60714
Dermatology
7411 N MILWAUKEE AVE
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 with the weekly NPPES data releases published by CMS.