CLEAR SKIN DERMATOLOGY
NPI 1477617207
Dermatology in Saint Charles, IL

Active since December 19, 2006CLIA Certified · 2 labs
2560 FOXFIELD RD, SUITE 100, SAINT CHARLES, IL 60174(630) 443-8855(630) 443-8866 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clear Skin Dermatology NPPES

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

CLEAR SKIN DERMATOLOGY (NPI 1477617207) is a healthcare organization registered as a dermatology in Saint Charles, Illinois and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Erin M. Daniels, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477617207
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST SUBURBAN DERMATOLOGY & COSMETIC SURGERY
Location Address2560 FOXFIELD RD, SUITE 100Saint Charles, IL 60174-5797
Mailing Address2560 Foxfield Rd, Suite 100Saint Charles, IL 60174-5797 · (630) 443-8855 · Fax (630) 443-8866
Fax(630) 443-8866
Organization SubpartNo
Authorized OfficialErin M. DanielsPractice Manager · (630) 443-8855
Enumeration DateDecember 19, 2006
Last NPPES UpdateAugust 14, 2013
✔ NPI 1477617207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036108686
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.
2560 FOXFIELD RD, Saint Charles, IL 60174

Other Names 1

Doing Business AsClear Skin Dermatology

Other Identifiers 1

Medicare UPINH83109IL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clear Skin Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Clear Skin Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Dermatology
NPI 1831197995
2560 FOXFIELD RD SUITE 100
Saint Charles, IL 60174
(630) 443-8855
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1639516313
2230 HUNTINGTON DR N
Algonquin, IL 60102
(847) 603-4146
✔ PECOS✔ Accepts Medicare17 mi
Plastic and Reconstructive Surgery
NPI 1750324257
1 ERIE CT
Oak Park, IL 60302
(708) 763-1219
✔ PECOS✔ Accepts Medicare26 mi
Pathology
NPI 1811204399
7123 WEST ARCHER AVE
Chicago, IL 60638
(773) 586-4506
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1952862468
1090 N SHOOP AVE
Wauseon, OH 43567
(419) 330-5200
✔ PECOS✔ Accepts Medicare216 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D1032587

Clear Skin Dermatology · Saint Charles, IL
Active · expires May 8, 2027
CLIA Number14D1032587
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorLaurence Bradley Jr
Laboratory Phone(630) 443-8855
Laboratory LocationClear Skin Dermatology2560 Foxfield Rd, Saint Charles, IL 60174
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 Compliance 14D1064302

Clear Skin Dermatology · Sycamore, IL
Active · expires May 7, 2027
CLIA Number14D1064302
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorLaurence Bradley Jr
Laboratory Phone(630) 443-8855
Laboratory LocationClear Skin Dermatology2128 Midlands Ct - Unit 106, Sycamore, IL 60178
CLIA data matches this NPI record on: 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.

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 West Suburban Dermatology & Cosmetic Surgery's NPI number?

The NPI number for West Suburban Dermatology & Cosmetic Surgery is 1477617207. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Clear Skin Dermatology.

Where is West Suburban Dermatology & Cosmetic Surgery located?

West Suburban Dermatology & Cosmetic Surgery is located at 2560 Foxfield Rd Suite 100, Saint Charles, IL 60174. The listed phone number is (630) 443-8855.

What is West Suburban Dermatology & Cosmetic Surgery's specialty?

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

Is West Suburban Dermatology & Cosmetic Surgery enrolled in Medicare?

Yes. West Suburban Dermatology & Cosmetic Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Suburban Dermatology & Cosmetic Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to West Suburban Dermatology & Cosmetic Surgery. 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 (3), Pathology (1) and Plastic and Reconstructive Surgery (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Suburban Dermatology & Cosmetic Surgery 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.

When was this NPI record last updated?

The NPPES record for West Suburban Dermatology & Cosmetic Surgery was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.