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M D AESTHETICS AND DERMATOLOGY LLC
NPI 1437678133
Dermatology in Chicago, IL

Active since September 13, 2017CLIA 14D2139347 · Waiver
1021 W ADAMS ST, LL # 1, CHICAGO, IL 60607(312) 579-0700(312) 579-0701 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Dec 6, 2021, Oct 16, 2017 and 1 more (4 updates tracked since 2017).

About M D Aesthetics And Dermatology Llc NPPES

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

M D AESTHETICS AND DERMATOLOGY LLC (NPI 1437678133) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Gabriel J. Martinez-diaz, Medical Director/dermatologist, as its authorized official.

NPPES Registry Identity

NPI1437678133
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameM D AESTHETICS AND DERMATOLOGY LLC
Location Address1021 W ADAMS ST, LL # 1Chicago, IL 60607-2934
Mailing Address1021 W. Adams St., Ll #1Chicago, IL 60607 · (312) 579-0700 · Fax (312) 579-0701
Phone(312) 579-0700
Fax(312) 579-0701
Organization SubpartNo
Authorized OfficialGabriel J. Martinez-diazMedical Director/dermatologist · (312) 579-0700
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1437678133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036138747
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 · License 036138747 (IL)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 036138747 (IL)
1021 W ADAMS ST, Chicago, IL 60607
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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 Waiver 14D2139347

M D Aesthetics And Dermatology · Chicago, IL
Active · expires Sep 16, 2026
CLIA Number14D2139347
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorGabriel J. Martinez-Diaz MD
Laboratory Phone(312) 579-0700
Laboratory LocationM D Aesthetics And Dermatology1021 W Adams St Ll#1, Chicago, IL 60607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RESURRECTION HEALTH CARE PREFERRED
Health Maintenance Organization
1021 W ADAMS ST, SUITE 300
CHICAGO, IL 60607
Cook County (773) 572-8300
RESURRECTION HEALTH CARE PREFERRED
Health Maintenance Organization
1021 W ADAMS ST, SUITE 300
CHICAGO, IL 60607
Cook County (773) 572-8300
DR. NANCY ANN DIETTRICH MD
Surgery
1021 W ADAMS ST, 300
CHICAGO, IL 60607
Cook County (773) 572-8300

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 M D Aesthetics And Dermatology LLC's NPI number?

The NPI number for M D Aesthetics And Dermatology LLC is 1437678133. It was assigned to this organization in the NPPES registry on September 13, 2017.

Where is M D Aesthetics And Dermatology LLC located?

M D Aesthetics And Dermatology LLC is located at 1021 W Adams St Ll # 1, Chicago, IL 60607. The listed phone number is (312) 579-0700.

What is M D Aesthetics And Dermatology LLC's specialty?

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

Does M D Aesthetics And Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2139347) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for M D Aesthetics And Dermatology LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.