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

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  • 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 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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.

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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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356553754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 6 + 7 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1356553754.

Other Providers at the Same Location


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

Psychologist (Clinical)
111 N WABASH AVE, STE 1408
CHICAGO, IL 60602
Ophthalmology
111 N WABASH AVE, STE 1722
CHICAGO, IL 60602
Ophthalmology
111 N WABASH AVE, SUITE1610
CHICAGO, IL 60602
Dentist (General Practice)
111 N WABASH AVE, SUITE 2020
CHICAGO, IL 60602
Internal Medicine
111 N WABASH AVE, SUITE 1710
CHICAGO, IL 60602
Ophthalmology
111 N WABASH AVE, STE 1810
CHICAGO, IL 60602
Internal Medicine (Cardiovascular Disease)
111 N WABASH AVE, STE 1416
CHICAGO, IL 60602
Chiropractor
111 N WABASH AVE, SUITE 600
CHICAGO, IL 60602
Internal Medicine (Cardiovascular Disease)
111 N WABASH AVE, SUITE 1210
CHICAGO, IL 60602
Social Worker (Clinical)
111 N WABASH AVE, SUITE 1408
CHICAGO, IL 60602
Psychologist (Clinical)
111 N WABASH AVE, SUITE 1422
CHICAGO, IL 60602
Podiatrist (Foot & Ankle Surgery)
111 N WABASH AVE, SUITE 1914
CHICAGO, IL 60602
Dentist (General Practice)
111 N WABASH AVE, #1921
CHICAGO, IL 60602
Podiatrist (Foot & Ankle Surgery)
111 N WABASH AVE, SUITE 1914
CHICAGO, IL 60602
Psychiatry & Neurology (Psychiatry)
111 N WABASH AVE, STE 1323
CHICAGO, IL 60602
Podiatrist (Foot & Ankle Surgery)
111 N WABASH AVE, STE 1914
CHICAGO, IL 60602
Psychiatry & Neurology (Psychiatry)
111 N WABASH AVE, #2101
CHICAGO, IL 60602
Specialist
111 N WABASH AVE, 1008
CHICAGO, IL 60602
Psychiatry & Neurology (Psychiatry)
111 N WABASH AVE, SUITE 1218
CHICAGO, IL 60602
Counselor (Mental Health)
111 N WABASH AVE, SUITE 1804
CHICAGO, IL 60602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356553754, enumerated as an "organization" on May 06, 2007.

The provider is located at 111 N WABASH AVE SUITE # 1116 CHICAGO, IL 60602 and the phone number is (312) 236-9950.

Dermatology with taxonomy code 207N00000X.