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ILLINOIS DERMATOLOGY INSTITUTE, LLC
NPI 1447613989
Clinic/Center - Medical Specialty in Park Ridge, IL

Active since April 01, 2016CLIA Certified · 2 labs
1550 N NORTHWEST HWY, SUITE 300, PARK RIDGE, IL 60068(847) 298-1831(847) 298-1832 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Illinois Dermatology Institute, Llc NPPES

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

ILLINOIS DERMATOLOGY INSTITUTE, LLC (NPI 1447613989) is a healthcare organization registered as a medical specialty in Park Ridge, Illinois and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Steven Mandrea, Physician, as its authorized official.

NPPES Registry Identity

NPI1447613989
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameILLINOIS DERMATOLOGY INSTITUTE, LLC
Location Address1550 N NORTHWEST HWY, SUITE 300Park Ridge, IL 60068-1411
Mailing Address1550 N Northwest Hwy, Suite 300Park Ridge, IL 60068-1411 · (847) 298-1831 · Fax (847) 298-1832
Phone(847) 298-1831
Fax(847) 298-1832
Organization SubpartNo
Authorized OfficialSteven MandreaPhysician · (847) 298-1831
Enumeration DateApril 1, 2016
✔ NPI 1447613989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in IL · 036111710
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1550 N NORTHWEST HWY, Park Ridge, IL 60068
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Other Identifiers 3

Other1386663631IL · Npi
Medicaid036111710IL
Medicare PINIL2485005IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 14D1071032

Illinois Dermatology Institute · Park Ridge, IL
Active · expires Oct 4, 2027
CLIA Number14D1071032
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorKeith Lopatka
Laboratory Phone(847) 298-1831
Laboratory LocationIllinois Dermatology Institute1550 N Northwest Hwy, #300, Park Ridge, IL 60068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 14D2002751

Illinois Dermatology Institute L L C · Park Ridge, IL
Active · expires Sep 29, 2027
CLIA Number14D2002751
Laboratory TypeAnatomical Pathology
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDr. Aadil Ahmed
Laboratory Phone(847) 768-2440
Laboratory LocationIllinois Dermatology Institute L L C1420 Renaissance Dr, Ste 204, Park Ridge, IL 60068
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

CORINNE EVON GRICHNIK MSW, LCSW
Social Worker (Clinical)
1550 N NORTHWEST HWY, SUITE 103 C
PARK RIDGE, IL 60068
Cook County (847) 825-3538
DR. TODD D SIMMONS M.D.
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Cook County (847) 824-3198
JEAN-FRANCOIS TREMBLAY M.D.
Colon & Rectal Surgery
1550 N NORTHWEST HWY, SUITE 107
PARK RIDGE, IL 60068
Cook County (847) 759-1110
PRIMARY CARE OF ILLINOIS, SC
Internal Medicine
1550 N NORTHWEST HWY, SUITE 211
PARK RIDGE, IL 60068
Cook County (847) 768-9300
DR. JOHN H LYON M.D.
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Cook County (847) 824-3198
LIFE MEDICAL SC
Internal Medicine
1550 N NORTHWEST HWY, SUITE 209
PARK RIDGE, IL 60068
Cook County (847) 653-8413
DR. JORDAN LOUIS GOLDSTEIN M.D.
Orthopaedic Surgery
1550 N NORTHWEST HWY, SUITE 220
PARK RIDGE, IL 60068
Cook County (847) 824-3198
ANDREA KRISTINA FINNEGAN MSW, LCSW
Social Worker (Clinical)
1550 N NORTHWEST HWY, STE 108F
PARK RIDGE, IL 60068
Cook County (847) 299-3400

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 Illinois Dermatology Institute, LLC's NPI number?

The NPI number for Illinois Dermatology Institute, LLC is 1447613989. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Illinois Dermatology Institute, LLC located?

Illinois Dermatology Institute, LLC is located at 1550 N Northwest Hwy Suite 300, Park Ridge, IL 60068. The listed phone number is (847) 298-1831.

What is Illinois Dermatology Institute, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Illinois Dermatology Institute, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Illinois Dermatology Institute, LLC accept?

Health plans from Medica list Illinois Dermatology Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Illinois Dermatology Institute, LLC was last updated on April 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.