VITALSKIN MEDICAL GROUP IL PLLC
NPI 1417657321
Dermatology in Chicago, IL

Active since March 08, 2023
1765 N ELSTON AVE STE 110, CHICAGO, IL 60642(773) 276-1100 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 3, 2025, Mar 8, 2023 (2 updates tracked since 2023).

About Vitalskin Medical Group Il Pllc NPPES

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

VITALSKIN MEDICAL GROUP IL PLLC (NPI 1417657321) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since March 2023. The organization maintains 6 additional practice locations and lists Jeremy Scott Youse, Chief Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417657321
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVITALSKIN MEDICAL GROUP IL PLLC
Location Address1765 N ELSTON AVE STE 110Chicago, IL 60642-1501
Mailing Address1111 W Kenyon RdUrbana, IL 61801-1004 · (415) 802-1310
Organization SubpartNo
Authorized OfficialJeremy Scott YouseChief Medical Director · (415) 802-1310
Enumeration DateMarch 8, 2023
Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1417657321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
1765 N ELSTON AVE STE 110, Chicago, IL 60642

Secondary Practice Locations 6

Location 1374 Larry Power RdBourbonnais, IL 60914-5187 · Phone (815) 933-2227
Location 22435 Dean St Ste 2ESt Charles, IL 60175-4827 · Phone (630) 433-7800
Location 3908 N Elm St Ste 300Hinsdale, IL 60521-3625 · Phone (630) 455-1756
Location 4150 N Michigan Ave Ste 1200Chicago, IL 60601-7605 · Phone (312) 263-4625
Location 51733 N Harlem AveChicago, IL 60707-4305 · Phone (773) 237-6666
Location 6680 N Lake Shore Dr Ste 930Chicago, IL 60611-8700 · Phone (312) 861-3911

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Vitalskin Medical Group Il Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Vitalskin Medical Group Il PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology23
Nurse Practitioner5
Micrographic Dermatologic Surgery (MDS)1
Radiation Oncology1

Nearest to this location (20)

See all 30
Dermatology
NPI 1871171157
1765 N ELSTON AVE STE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1376701623
1765 N ELSTON AVE SUITE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1871942177
1765 N ELSTON AVE STE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1831139344
1765 N ELSTON AVE SUITE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1669407052
1765 N ELSTON AVE SUITE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1285677252
1765 N ELSTON AVE SUITE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOSSame address
Dermatology
NPI 1033208418
1765 N ELSTON AVE SUITE 110
Chicago, IL 60642
(773) 276-1100
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1851975619
3245 N HALSTED ST
Chicago, IL 60657
(773) 902-0136
✔ PECOS2.0 mi
Nurse Practitioner
NPI 1023448073
150 N MICHIGAN AVE STE 1200
Chicago, IL 60601
(312) 263-4625
✔ PECOS✔ Accepts Medicare2.9 mi
Dermatology
NPI 1003973413
150 N MICHIGAN AVE STE 1200
Chicago, IL 60601
(312) 263-4625
✔ PECOS✔ Accepts Medicare2.9 mi
Dermatology
NPI 1104920842
1733 N HARLEM AVE
Chicago, IL 60707
(773) 237-6666
✔ PECOS✔ Accepts Medicare7.3 mi
Dermatology
NPI 1205464146
2160 S 1ST AVE FAHEY BLDG./ROOM 101
Maywood, IL 60153
(708) 216-4962
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1760744148
908 N ELM ST STE 300
Hinsdale, IL 60521
(630) 884-5913
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1487655684
908 N ELM ST STE 300
Hinsdale, IL 60521
(630) 884-5913
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1629079462
908 N ELM ST STE 300
Hinsdale, IL 60521
(630) 884-5913
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1346409919
1801 S HIGHLAND AVE STE 130
Lombard, IL 60148
(630) 286-5050
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1598982019
275 PARKWAY DR SUITE 521
Lincolnshire, IL 60069
(847) 459-6400
✔ PECOS✔ Accepts Medicare23 mi
Dermatology
NPI 1952319303
2570 NILES RD
Saint Joseph, MI 49085
(269) 321-7546
✔ PECOS62 mi
Nurse Practitioner
NPI 1881363976
1111 W KENYON RD STE B
Urbana, IL 61801
(217) 819-3376
✔ PECOS✔ Accepts Medicare126 mi
Dermatology
NPI 1144780594
1111 W KENYON RD
Urbana, IL 61801
(217) 819-3376
✔ PECOS✔ Accepts Medicare126 mi
See all 30 clinicians

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 Vitalskin Medical Group Il PLLC's NPI number?

The NPI number for Vitalskin Medical Group Il PLLC is 1417657321. It was assigned to this organization in the NPPES registry on March 8, 2023.

Where is Vitalskin Medical Group Il PLLC located?

Vitalskin Medical Group Il PLLC is located at 1765 N Elston Ave Ste 110, Chicago, IL 60642. The listed phone number is (773) 276-1100.

What is Vitalskin Medical Group Il PLLC's specialty?

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

Is Vitalskin Medical Group Il PLLC enrolled in Medicare?

Yes. Vitalskin Medical Group Il PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitalskin Medical Group Il PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 4 Medicare specialties reassign their Medicare billing to Vitalskin Medical Group Il PLLC. 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. The largest specialties are Dermatology (23), Nurse Practitioner (5) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 7 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitalskin Medical Group Il PLLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.