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PURE SKINOLOGY LLC
NPI 1649807074
Clinic/Center - Medical Specialty in Chicago, IL

Active since March 25, 2020
2202 N. HALSTED ST, SUITE 1, CHICAGO, IL 60614(773) 270-1133 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2020, Apr 10, 2020, Mar 29, 2020 (3 updates tracked since 2020).

About Pure Skinology Llc NPPES

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

PURE SKINOLOGY LLC (NPI 1649807074) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since March 2020. The organization lists David Othman, President, as its authorized official.

NPPES Registry Identity

NPI1649807074
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NamePURE SKINOLOGY LLC
Location Address2202 N. HALSTED ST, SUITE 1Chicago, IL 60614
Mailing Address2202 N. Halsted St, Suite 1Chicago, IL 60614 · (312) 600-5826 · Fax (608) 713-8272
Phone(773) 270-1133
Organization SubpartNo
Authorized OfficialDavid OthmanPresident · (312) 600-5826
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 15, 20203 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1649807074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
2202 N. HALSTED ST, SUITE 1, Chicago, IL 60614
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pure Skinology LLC's NPI number?

The NPI number for Pure Skinology LLC is 1649807074. It was assigned to this organization in the NPPES registry on March 25, 2020.

Where is Pure Skinology LLC located?

Pure Skinology LLC is located at 2202 N. Halsted St, Suite 1, Chicago, IL 60614. The listed phone number is (773) 270-1133.

What is Pure Skinology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Pure Skinology LLC was last updated on July 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.