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DERMATOLOGY AND AESTHETICS OF WICKER PARK, PLLC
NPI 1386777241
Dermatology in Chicago, IL

Active since March 13, 2007CLIA 14D1066591 · Microscopy
1765 N ELSTON AVE, SUITE 110, CHICAGO, IL 60642(773) 276-1100(773) 276-1102 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2021, Nov 25, 2020 (2 updates tracked since 2020).

About Dermatology And Aesthetics Of Wicker Park, Pllc NPPES

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

DERMATOLOGY AND AESTHETICS OF WICKER PARK, PLLC (NPI 1386777241), doing business as Dermatology And Aesthetics Of Wicker Park, Llc, is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through May 7, 2027 and lists Neha Robinson, Owner/ Physician, as its authorized official.

NPPES Registry Identity

NPI1386777241
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND AESTHETICS OF WICKER PARK, PLLC
Location Address1765 N ELSTON AVE, SUITE 110Chicago, IL 60642-1501
Mailing Address1765 N Elston Ave, Suite 110Chicago, IL 60642-1501 · (773) 276-1100 · Fax (773) 276-1102
Phone(773) 276-1100
Fax(773) 276-1102
Organization SubpartNo
Authorized OfficialNeha RobinsonOwner/ Physician · (773) 276-1100
Enumeration DateMarch 13, 2007
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1386777241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1765 N ELSTON AVE, Chicago, IL 60642
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Other Names 1

Former Legal Business NameDermatology And Aesthetics Of Wicker Park, Llc

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 for Provider-Performed Microscopy Procedures (PPMP) 14D1066591

Dermatology & Aesthetics, Wicker Park · Chicago, IL
Active · expires May 7, 2027
CLIA Number14D1066591
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorMeyer A. Horn
Laboratory Phone(773) 276-1100
Laboratory LocationDermatology & Aesthetics, Wicker Park1765 N Elston Ave, Ste 110, Chicago, IL 60642
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

MRS. KATELYNN MARIE COWEE MS, BCBA
Behavior Analyst
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (773) 232-3562
CLAIRE INSKEEP
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (773) 620-7800
EMILY ANN MARIE FIRMISS
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (773) 620-7800
DR. TODD ANDREW JOHNSON M.D.
Dermatology (MOHS-Micrographic Surgery)
1765 N ELSTON AVE, SUITE 110
CHICAGO, IL 60642
Cook County (773) 276-1100
AMY SATTERTHWAITE OTR/L
Occupational Therapist
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (513) 225-5314
MONICA RANI MD
Dermatology (Clinical & Laboratory Dermatological Immunology)
1765 N ELSTON AVE, SUITE 1600
CHICAGO, IL 60642
Cook County (773) 276-1100
LAUREN ELIZABETH ZEMANEK
Behavior Analyst
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (773) 341-0099
MEGAN REHMER
Speech-Language Pathologist
1765 N ELSTON AVE
CHICAGO, IL 60642
Cook County (312) 399-0370

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 Dermatology And Aesthetics Of Wicker Park, PLLC's NPI number?

The NPI number for Dermatology And Aesthetics Of Wicker Park, PLLC is 1386777241. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider was formerly known as Dermatology And Aesthetics Of Wicker Park, LLC.

Where is Dermatology And Aesthetics Of Wicker Park, PLLC located?

Dermatology And Aesthetics Of Wicker Park, PLLC is located at 1765 N Elston Ave Suite 110, Chicago, IL 60642. The listed phone number is (773) 276-1100.

What is Dermatology And Aesthetics Of Wicker Park, PLLC's specialty?

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

Does Dermatology And Aesthetics Of Wicker Park, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1066591) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology And Aesthetics Of Wicker Park, PLLC was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.