NORTHSIDE DERMATOLOGY & LASER CENTER, S.C.
NPI 1326865353
Family Medicine in Chicago, IL

Q: What is Northside Dermatology & Laser Center, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 23, 2024

6211 N MILWAUKEE AVE, CHICAGO, IL 60646(773) 774-6677(773) 774-3322 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Northside Dermatology & Laser Center, S.c. NPPES

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

NORTHSIDE DERMATOLOGY & LASER CENTER, S.C. (NPI 1326865353) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since September 2024. The organization lists Aneta Perez, Manager, as its authorized official.

NPPES Registry Identity

NPI1326865353

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameNORTHSIDE DERMATOLOGY & LASER CENTER, S.C.

Location Address6211 N MILWAUKEE AVEChicago, IL 60646-3730

Mailing Address6211 N Milwaukee AveChicago, IL 60646-3730 · (773) 774-6677 · Fax (773) 774-3322

Phone(773) 774-6677

Fax(773) 774-3322

Organization SubpartNo

Authorized OfficialAneta PerezManager · (847) 529-5255

Enumeration DateSeptember 23, 2024

NPPES CertifiedSeptember 22, 2024

✔ NPI 1326865353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6211 N MILWAUKEE AVE, Chicago, IL 60646

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Other Names 1

Doing Business AsNorthside Dermatology & Laser Center, S.c.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northside Dermatology & Laser Center, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northside Dermatology & Laser Center, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Miroslawa Dulczewska Miller, MD PHD

General Practice

NPI 1013963537

6211 N MILWAUKEE AVE
Chicago, IL 60646

(773) 774-6677

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northside Dermatology & Laser Center, S.C.'s NPI number?

The NPI number for Northside Dermatology & Laser Center, S.C. is 1326865353. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Northside Dermatology & Laser Center, S.C. located?

Northside Dermatology & Laser Center, S.C. is located at 6211 N Milwaukee Ave, Chicago, IL 60646. The listed phone number is (773) 774-6677.

What is Northside Dermatology & Laser Center, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Northside Dermatology & Laser Center, S.C. enrolled in Medicare?

Yes. Northside Dermatology & Laser Center, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Dermatology & Laser Center, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Northside Dermatology & Laser Center, S.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northside Dermatology & Laser Center, S.C. was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.