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MOHS SURGERY &DERMATOLOGY
NPI 1356721591
Specialist in Elgin, IL

Active since June 03, 2015
1750 N RANDALL RD, SUITE 120, ELGIN, IL 60123(847) 608-6647 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohs Surgery &dermatology NPPES

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

MOHS SURGERY &DERMATOLOGY (NPI 1356721591) is a healthcare organization registered as a specialist in Elgin, Illinois and active in the NPI registry since June 2015. The organization lists Kim Greenough, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356721591
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOHS SURGERY &DERMATOLOGY
Location Address1750 N RANDALL RD, SUITE 120Elgin, IL 60123-7900
Mailing Address1750 N Randall Rd, Suite 120Elgin, IL 60123-7900 · (847) 608-6647
Phone(847) 608-6647
Organization SubpartNo
Authorized OfficialKim GreenoughOffice Manager · (847) 608-6647
Enumeration DateJune 3, 2015
✔ NPI 1356721591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036.137205
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1750 N RANDALL RD, Elgin, IL 60123
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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

CLIA Laboratory Certificates CMS CLIA

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 14D1079340

Mohs Surgery And Dermatology Center · Elgin, IL
Expired · Jul 31, 2026
CLIA Number14D1079340
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorSuleman J. Bangash
Laboratory Phone(847) 608-6647
Laboratory LocationMohs Surgery And Dermatology Center1750 N Randall Rd, Suite 120, Elgin, IL 60123
CLIA data matches this NPI record on: Address 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 14

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

ADVANCED FOOT & ANKLE SPECIALISTS SC
Podiatrist (Foot & Ankle Surgery)
1750 N RANDALL RD, SUITE 160
ELGIN, IL 60123
Kane County (630) 698-3637
ADVANCED SPORTS MEDICINE SC
Chiropractor
1750 N RANDALL RD, SUITE 250
ELGIN, IL 60123
Kane County (224) 856-2494
INTEGRATIVE MED LLC
General Practice
1750 N RANDALL RD, SUITE 250
ELGIN, IL 60123
Kane County (847) 695-6262
ADVANCED WELLNESS CENTER AND RESEARCH FOUNDATION
Family Medicine
1750 N RANDALL RD, SUITE 250
ELGIN, IL 60123
Kane County (847) 695-6262
INTEGRITY PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
1750 N RANDALL RD, SUITE 280
ELGIN, IL 60123
Kane County (847) 695-5988
DR. RAJESH P SHAH MD
Internal Medicine
1750 N RANDALL RD, SUITE 110
ELGIN, IL 60123
Kane County (224) 629-4525
SUSAN K. BUSSE MD
Family Medicine
1750 N RANDALL RD, SUITE 250
ELGIN, IL 60123
Kane County (847) 695-6262
MEDICAL ASSOCIATES OF ELGIN, LLC
Family Medicine
1750 N RANDALL RD, SUITE 110
ELGIN, IL 60123
Kane County (224) 629-4525

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 Mohs Surgery &dermatology's NPI number?

The NPI number for Mohs Surgery &dermatology is 1356721591. It was assigned to this organization in the NPPES registry on June 3, 2015.

Where is Mohs Surgery &dermatology located?

Mohs Surgery &dermatology is located at 1750 N Randall Rd Suite 120, Elgin, IL 60123. The listed phone number is (847) 608-6647.

What is Mohs Surgery &dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mohs Surgery &dermatology was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.