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ILLINOIS SKIN CENTER LLC
NPI 1588283402
Dermatology in Chicago, IL

Active since April 10, 2020CLIA 14D2264979 · Waiver
2202 N HALSTED ST STE 1, CHICAGO, IL 60614(312) 600-5826(872) 260-5008 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2025, Feb 11, 2025, Jan 11, 2025 and 5 more (8 updates tracked since 2020).

About Illinois Skin Center Llc NPPES

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

ILLINOIS SKIN CENTER LLC (NPI 1588283402) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists David Othman, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1588283402
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameILLINOIS SKIN CENTER LLC
Location Address2202 N HALSTED ST STE 1Chicago, IL 60614-3625
Mailing Address2202 N Halsted St Ste 1Chicago, IL 60614-3625 · (312) 600-5826 · Fax (872) 260-5008
Phone(312) 600-5826
Fax(872) 260-5008
Organization SubpartNo
Authorized OfficialDavid OthmanPresident And Ceo · (312) 600-5826
Enumeration DateApril 10, 2020
Last NPPES UpdateFebruary 27, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1588283402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
2202 N HALSTED ST STE 1, Chicago, IL 60614
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare and more.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 Waiver 14D2264979

Illinois Skin Center · Chicago, IL
Active · expires Jul 20, 2028
CLIA Number14D2264979
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDavid Othman
Laboratory Phone(312) 600-5826
Laboratory LocationIllinois Skin Center2202 N Halsted St - Ste 1, Chicago, IL 60614
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

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

DR. DAVID ZACHARY OTHMAN M.D., M.H.S.A
Dermatology (Procedural Dermatology)
2202 N HALSTED ST STE 1
CHICAGO, IL 60614
Cook County (312) 600-5826

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 Skin Center LLC's NPI number?

The NPI number for Illinois Skin Center LLC is 1588283402. It was assigned to this organization in the NPPES registry on April 10, 2020.

Where is Illinois Skin Center LLC located?

Illinois Skin Center LLC is located at 2202 N Halsted St Ste 1, Chicago, IL 60614. The listed phone number is (312) 600-5826.

What is Illinois Skin Center LLC's specialty?

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

Does Illinois Skin Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2264979) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Illinois Skin Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Molina Healthcare, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Illinois Skin Center 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 Skin Center LLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.