DERICK DERMATOLOGY, PLLC
NPI 1174097836
Dermatology in Libertyville, IL

Active since January 16, 2019CLIA Certified · 4 labs
950 TECHNOLOGY WAY, SUITE 150, LIBERTYVILLE, IL 60048(847) 381-8899(847) 381-8999 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2022, May 12, 2022, Apr 12, 2019 and 1 more (4 updates tracked since 2019).

About Derick Dermatology, Pllc NPPES

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

DERICK DERMATOLOGY, PLLC (NPI 1174097836) is a healthcare organization registered as a dermatology in Libertyville, Illinois and active in the NPI registry since January 2019. The organization holds 4 active CLIA laboratory certificates and lists Amy Derick, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1174097836
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERICK DERMATOLOGY, PLLC
Location Address950 TECHNOLOGY WAY, SUITE 150Libertyville, IL 60048
Mailing AddressPo Box 6685Carol Stream, IL 60197-6685 · (847) 381-8899 · Fax (847) 381-8999
Fax(847) 381-8999
Organization SubpartNo
Authorized OfficialAmy DerickMedical Doctor · (847) 381-8899
Enumeration DateJanuary 16, 2019
Last NPPES UpdateSeptember 9, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
NPI 1174097836 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
950 TECHNOLOGY WAY, Libertyville, IL 60048

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 4

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 10D2270562

Derick Dermatology, LLC · Wesley Chapel, FL
Active · expires May 25, 2027
CLIA Number10D2270562
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorJohn Denigris
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology, LLC2590 Healing Way, Suite 220, Wesley Chapel, FL 33543
CLIA data matches this NPI record on: 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.

Certificate of Compliance 10D2273843

Derick Dermatology LLC · Tampa, FL
Active · expires Feb 16, 2027
CLIA Number10D2273843
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorJohn Denigris
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology LLC5201 W Kennedy Blvd, Suite 950, Tampa, FL 33609
CLIA data matches this NPI record on: 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.

Certificate of Waiver 10D2274629

Derick Dermatology LLC · Tampa, FL
Active · expires Jan 8, 2027
CLIA Number10D2274629
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorAmy J. Derick
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology LLC8875 Hidden River Parkway Suite 500, Tampa, FL 33637
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2273392

Derick Dermatology LLC · Riverview, FL
Active · expires Sep 3, 2026
CLIA Number10D2273392
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorJohn Denigris
Laboratory Phone(847) 381-8899
Laboratory LocationDerick Dermatology LLC10114 Gibsonton Drive, Riverview, FL 33578
CLIA data matches this NPI record on: 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

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

Dermatology
950 TECHNOLOGY WAY, SUITE 150
LIBERTYVILLE, IL 60048

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 Derick Dermatology, PLLC's NPI number?

The NPI number for Derick Dermatology, PLLC is 1174097836. It was assigned to this organization in the NPPES registry on January 16, 2019.

Where is Derick Dermatology, PLLC located?

Derick Dermatology, PLLC is located at 950 Technology Way Suite 150, Libertyville, IL 60048. The listed phone number is (847) 381-8899.

What is Derick Dermatology, PLLC's specialty?

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

Does Derick Dermatology, PLLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Derick Dermatology, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Derick Dermatology, PLLC 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 Derick Dermatology, PLLC was last updated on September 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.