DERMATOLOGY ASSOCIATES OF HIGHLAND PARK
NPI 1497099113
Dermatology - Procedural Dermatology in Highland Park, IL

Active since November 19, 2012CLIA 14D2173581 · Waiver
767 PARK AVE W, SUITE 310, HIGHLAND PARK, IL 60035(847) 432-4650(847) 480-2616 Get Directions Write a Review

NPPES record last updated: August 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology Associates Of Highland Park NPPES

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

DERMATOLOGY ASSOCIATES OF HIGHLAND PARK (NPI 1497099113) is a healthcare organization registered as a procedural dermatology in Highland Park, Illinois and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Jill Sutherland, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1497099113
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameSCOTT D, GLAZER, M.D., S.C.
Location Address767 PARK AVE W, SUITE 310Highland Park, IL 60035-2400
Mailing Address767 Park Ave W, Ste 310Highland Park, IL 60035-2400 · (847) 432-4650 · Fax (847) 459-7929
Fax(847) 480-2616
Organization SubpartYesParent: Scott D. Glazer, M.d., S.c.
Authorized OfficialJill SutherlandPractice Manager · (847) 432-4650
Enumeration DateNovember 19, 2012
Last NPPES UpdateAugust 20, 2013
NPI 1497099113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Licenses Licensed in IL · 036059380 Licensed in IL · 036073084 Licensed in IL · 036102194 Licensed in IL · 036111358
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X · License 036062019 (IL)
767 PARK AVE W, Highland Park, IL 60035

Other Names 1

Doing Business AsDermatology Associates Of Highland Park

Other Identifiers 5

Medicare UPINI43875IL
Medicare UPINB54301IL
Medicare UPINC25911IL
Medicare UPINH16889IL
Medicare UPINC43141IL

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 MULTIPLE 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 14D2173581

Dermatology Associates Of Highland Park · Highland Park, IL
Active · expires Oct 15, 2027
CLIA Number14D2173581
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorScott D. Glazer M D
Laboratory Phone(847) 459-6611
Laboratory LocationDermatology Associates Of Highland Park767 Park Ave West - Ste 310, Highland Park, IL 60035
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Pediatrics
767 PARK AVE W, SUITE 230
HIGHLAND PARK, IL 60035
Internal Medicine (Sports Medicine)
767 PARK AVE W, STE 130
HIGHLAND PARK, IL 60035
Psychologist
767 PARK AVE W, SUITE 210
HIGHLAND PARK, IL 60035
Internal Medicine
767 PARK AVE W, SUITE 350
HIGHLAND PARK, IL 60035
Surgery (Plastic and Reconstructive Surgery)
767 PARK AVE W, 180
HIGHLAND PARK, IL 60035
Podiatrist (Foot & Ankle Surgery)
767 PARK AVE W, SUITE 130
HIGHLAND PARK, IL 60035
Dermatology
767 PARK AVE W, SUITE 130
HIGHLAND PARK, IL 60035
Surgery
767 PARK AVE W, SUITE 320
HIGHLAND PARK, IL 60035

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 Scott D, Glazer, M.D., S.C.'s NPI number?

The NPI number for Scott D, Glazer, M.D., S.C. is 1497099113. It was assigned to this organization in the NPPES registry on November 19, 2012. The provider is doing business as Dermatology Associates Of Highland Park.

Where is Scott D, Glazer, M.D., S.C. located?

Scott D, Glazer, M.D., S.C. is located at 767 Park Ave W Suite 310, Highland Park, IL 60035. The listed phone number is (847) 432-4650.

What is Scott D, Glazer, M.D., S.C.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Scott D, Glazer, M.D., S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2173581) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott D, Glazer, M.D., S.C. was last updated on August 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.