NORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC
NPI 1609827237
Specialist in Gurnee, IL

Active since May 16, 2006
1O3 S GREENLEAF ST, SUITE J, GURNEE, IL 60031(847) 662-8201(847) 662-8215 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Suburban Dermatology Associates,sc NPPES

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

NORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC (NPI 1609827237) is a healthcare organization registered as a specialist in Gurnee, Illinois and active in the NPI registry since May 2006. The organization lists Samuel Solomon, President, as its authorized official.

NPPES Registry Identity

NPI1609827237
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTH SUBURBAN DERMATOLOGY ASSOCIATES,SC
Location Address1O3 S GREENLEAF ST, SUITE JGurnee, IL 60031-3370
Mailing Address1o3 S Greenleaf St, Suite JGurnee, IL 60031-3370 · (847) 662-8201 · Fax (847) 662-8215
Fax(847) 662-8215
Organization SubpartNo
Authorized OfficialSamuel SolomonPresident · (847) 662-8201
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 12, 2008
NPI 1609827237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1O3 S GREENLEAF ST, Gurnee, IL 60031

Other Identifiers 14

Other4044905IL · Aetna - Samuel Solomon
Medicare ID-Type Unspecified453550IL · Samuel Solomon, Md
OtherO4920144IL · Bcbs Provider Number
Other7248829002IL · Cigna- Benjamin Dubin, Md
Other4392571IL · Aetna- Benjamin Dubin,md
OtherK39549IL · Mdr Invidual Solomon
Other1356495030IL · Dubin Npi
Other1558316281IL · Solomon Npi
Medicare ID-Type Unspecified906270IL · Benjamin Dubin, Md
Other6945148002IL · Cigna - Samuel Solomon
OtherK39550IL · Mdr Individual Dubin
Medicare UPIND10959IL
Other453550IL · Medicare Grp
Medicare UPINE19023IL

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 Compliance 14D0414456

North Suburban Dermatology Associates · Gurnee, IL
Expired · Jul 31, 2026
CLIA Number14D0414456
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorMeghan I. Morrow
Laboratory Phone(708) 482-3213
Laboratory LocationNorth Suburban Dermatology Associates103 S Greenleaf St Ste J, Gurnee, IL 60031
CLIA data matches this NPI record on: Name
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 North Suburban Dermatology Associates,sc's NPI number?

The NPI number for North Suburban Dermatology Associates,sc is 1609827237. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is North Suburban Dermatology Associates,sc located?

North Suburban Dermatology Associates,sc is located at 1o3 S Greenleaf St Suite J, Gurnee, IL 60031. The listed phone number is (847) 662-8201.

What is North Suburban Dermatology Associates,sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for North Suburban Dermatology Associates,sc was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.