BIELINSKI DERMATOLOGY GROUP, LLC
NPI 1609725340
Non-Pharmacy Dispensing Site in Evergreen Park, IL

Active since January 26, 2026
3900 W 95TH ST STE 12, EVERGREEN PARK, IL 60805(708) 636-3767(708) 873-5849 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About BIELINSKI DERMATOLOGY GROUP, LLC

This page provides the complete NPI Profile along with additional information for Bielinski Dermatology Group, Llc, a provider established in Evergreen Park, Illinois operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1609725340 assigned on January 2026. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Lawrence Lazelle Anderson Md (President/owner)

NPI
1609725340 Verify this NPI
Provider Name
BIELINSKI DERMATOLOGY GROUP, LLC
Entity Type
Organization
Location Address
3900 W 95TH ST STE 12 EVERGREEN PARK, IL 60805
Location Phone
(708) 636-3767
Location Fax
(708) 873-5849
Mailing Address
16105 S LA GRANGE RD ORLAND PARK, IL 60467
Mailing Phone
(708) 636-3767
Mailing Fax
(708) 873-5849
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2026
Last Update Date
01-26-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAWRENCE LAZELLE ANDERSON MD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(903) 521-6143

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
3900 W 95TH ST STE 12
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609725340, enumerated as an "organization" on January 26, 2026.

The provider is located at 3900 W 95TH ST STE 12 EVERGREEN PARK, IL 60805 and the phone number is (708) 636-3767.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.