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COSMETIC DERMATOLOGY&SURGERYPC
NPI 1629260039
Dermatology - Procedural Dermatology in Olympia Fields, IL

Active since August 10, 2007
2605 LINCOLN HWY, OLYMPIA FIELDS, IL 60461(708) 481-9370(708) 481-9369 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic Dermatology&surgerypc NPPES

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

COSMETIC DERMATOLOGY&SURGERYPC (NPI 1629260039) is a healthcare organization registered as a procedural dermatology in Olympia Fields, Illinois and active in the NPI registry since August 2007. The organization lists Vladimir V Panine, Owner, as its authorized official.

NPPES Registry Identity

NPI1629260039
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameCOSMETIC DERMATOLOGY&SURGERYPC
Location Address2605 LINCOLN HWYOlympia Fields, IL 60461-1846
Mailing Address2605 Lincoln HwyOlympia Fields, IL 60461-1846 · (708) 481-9370 · Fax (708) 481-9369
Phone(708) 481-9370
Fax(708) 481-9369
Organization SubpartNo
Authorized OfficialVladimir V PanineOwner · (708) 481-9370
Enumeration DateAugust 10, 2007
Last NPPES UpdateSeptember 12, 2007
✔ NPI 1629260039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
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).
2605 LINCOLN HWY, Olympia Fields, IL 60461
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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

Other Providers at the Same Location NPPES 4

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

WOUND CARE ASSOCIATES LLC
Physician Assistant (Surgical)
2605 LINCOLN HWY, SUITE 121
OLYMPIA FIELDS, IL 60461
Cook County (773) 354-8990
MIA COLLINS MS, MSW, LCSW, CADC
Social Worker (Clinical)
2605 LINCOLN HWY, SUITE 114
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-1274
COMPREHENSIVE SERVICES OF ILLINOIS INCORPORATED
Community/Behavioral Health
2605 LINCOLN HWY, 114
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-1274
ANEKIA CAMERON LCSW
Social Worker (Clinical)
2605 LINCOLN HWY, SUITE 114
OLYMPIA FIELDS, IL 60461
Cook County (708) 503-1000

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 Cosmetic Dermatology&surgerypc's NPI number?

The NPI number for Cosmetic Dermatology&surgerypc is 1629260039. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Cosmetic Dermatology&surgerypc located?

Cosmetic Dermatology&surgerypc is located at 2605 Lincoln Hwy, Olympia Fields, IL 60461. The listed phone number is (708) 481-9370.

What is Cosmetic Dermatology&surgerypc's specialty?

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

When was this NPI record last updated?

The NPPES record for Cosmetic Dermatology&surgerypc was last updated on September 12, 2007. 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.