SKIN WELLNESS CENTER OF CHICAGO, SC
NPI 1356553754
Dermatology in Chicago, IL

NPI Status: Active since May 06, 2007

Contact Information

111 N WABASH AVE
SUITE # 1116
CHICAGO, IL
ZIP 60602
Phone: (312) 236-9950
Fax: (312) 236-9951

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dermatology

About SKIN WELLNESS CENTER OF CHICAGO, SC

This page provides the complete NPI Profile along with additional information for Skin Wellness Center Of Chicago, Sc, a provider established in Chicago, Illinois operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1356553754 assigned on May 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Brooke A. Jackson Md (President, Owner, Medical Director)

NPI: 1356553754
Provider Name: SKIN WELLNESS CENTER OF CHICAGO, SC
Entity Type: Organization
Location Address: 111 N WABASH AVE SUITE # 1116 CHICAGO, IL 60602
Location Phone: (312) 236-9950
Location Fax: (312) 236-9951
Mailing Address: 111 N WABASH AVE SUITE # 1116 CHICAGO, IL 60602
Mailing Phone: (312) 236-9950
Mailing Fax: (312) 236-9951
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-06-2007
Last Update Date: 08-22-2020
Code Navigator

A dermatologist like Skin Wellness Center Of Chicago, Sc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dermatology
Taxonomy Code: 207N00000X
Type: Allopathic & Osteopathic Physicians
License State: IL
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. BROOKE A. JACKSON MD
Authorized Official Title: PRESIDENT, OWNER, MEDICAL DIRECTOR
Authorized Official Phone: (312) 236-9950

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	5	6	5	5	3	7	5	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	10	6	10	5	6	7	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 6 + 7 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1356553754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. PAUL DALE LINDEN PSY.D.

Psychologist

(Clinical)

111 N WABASH AVE
STE 1408
CHICAGO, IL
ZIP 60602

About SKIN WELLNESS CENTER OF CHICAGO, SC

Location Map

Specialty - Primary Taxonomy

Dermatology

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

DR. BROOKE A. JACKSON MD

Reviews for SKIN WELLNESS CENTER OF CHICAGO, SC

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SKIN WELLNESS CENTER OF CHICAGO, SC's NPI number?

Where is the provider located?

What is the provider's specialty?