ROCKFORD DERMATOLOGY SC
NPI 1487751335
Dermatology in Rockford, IL

Active since September 20, 2006
4338 MORSAY DR, ROCKFORD, IL 61107(815) 399-6400(815) 399-4424 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rockford Dermatology Sc NPPES

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

ROCKFORD DERMATOLOGY SC (NPI 1487751335) is a healthcare organization registered as a dermatology in Rockford, Illinois and active in the NPI registry since September 2006. The organization lists Lakimerly Michelle Coates, President, as its authorized official.

NPPES Registry Identity

NPI1487751335
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROCKFORD DERMATOLOGY SC
Location Address4338 MORSAY DRRockford, IL 61107-4877
Mailing Address4338 Morsay DrRockford, IL 61107-4877 · (815) 399-6400 · Fax (815) 399-4424
Fax(815) 399-4424
Organization SubpartNo
Authorized OfficialLakimerly Michelle CoatesPresident · (815) 399-6400
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 19, 2018
NPI 1487751335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 042617821
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 · Procedural DermatologyTaxonomy 207NS0135X · License 042617821 (IL)
4338 MORSAY DR, Rockford, IL 61107

Other Identifiers 4

Other203521IL · Medicare Group #
Other7847308Aetna
Medicaid036102903IL
Other10132043IL · Blue Cross Blue Shield

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

Accepted Insurance

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 Compliance 14D1043269

Rockford Dermatology, Sc · Rockford, IL
Expired · Jul 31, 2026
CLIA Number14D1043269
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorLakimerly M. Coates
Laboratory Phone(815) 399-6400
Laboratory LocationRockford Dermatology, Sc4338 Morsay Drive, Rockford, IL 61107
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.

Other Providers at the Same Location NPPES 2

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

Anesthesiology (Pain Medicine)
4338 MORSAY DR, LOWER LEVEL
ROCKFORD, IL 61107
Chiropractor
4338 MORSAY DR
ROCKFORD, IL 61107

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 Rockford Dermatology Sc's NPI number?

The NPI number for Rockford Dermatology Sc is 1487751335. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Rockford Dermatology Sc located?

Rockford Dermatology Sc is located at 4338 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 399-6400.

What is Rockford Dermatology Sc's specialty?

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

What insurance does Rockford Dermatology Sc accept?

Health plans from Quartz list Rockford Dermatology Sc 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 Rockford Dermatology Sc was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.