ELDERDERM SC
NPI 1245577667
Dermatology in Chicago, IL

Active since January 04, 2013
400 E RANDOLPH ST, SUITE 2407, CHICAGO, IL 60601(312) 371-7517 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elderderm Sc NPPES

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

ELDERDERM SC (NPI 1245577667) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since January 2013. The organization lists Scott Brent Phillips, President / Ceo, as its authorized official.

NPPES Registry Identity

NPI1245577667
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameELDERDERM SC
Location Address400 E RANDOLPH ST, SUITE 2407Chicago, IL 60601-7329
Mailing Address400 E Randolph St, Suite 2407Chicago, IL 60601-7329 · (312) 371-7517
Organization SubpartNo
Authorized OfficialScott Brent PhillipsPresident / Ceo · (312) 371-7517
Enumeration DateJanuary 4, 2013
Last NPPES UpdateJuly 18, 2013
NPI 1245577667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 36-087861
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.
400 E RANDOLPH ST, Chicago, IL 60601

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

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.

Physical Therapist
400 E RANDOLPH ST, PROFESSIONAL SUITE 205
CHICAGO, IL 60601
Dentist (Endodontics)
400 E RANDOLPH ST, #3202
CHICAGO, IL 60601
Ophthalmology
400 E RANDOLPH ST, UNIT 2113
CHICAGO, IL 60601
Pharmacist
400 E RANDOLPH ST, #3721
CHICAGO, IL 60601
Naprapath
400 E RANDOLPH ST, #1610
CHICAGO, IL 60601
Internal Medicine (Addiction Medicine)
400 E RANDOLPH ST, APT 2711
CHICAGO, IL 60601

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 Elderderm Sc's NPI number?

The NPI number for Elderderm Sc is 1245577667. It was assigned to this organization in the NPPES registry on January 4, 2013.

Where is Elderderm Sc located?

Elderderm Sc is located at 400 E Randolph St Suite 2407, Chicago, IL 60601. The listed phone number is (312) 371-7517.

What is Elderderm Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Elderderm Sc was last updated on July 18, 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.