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

NPI Status: Active since March 25, 2020

Contact Information

2202 N. HALSTED ST, SUITE 1
CHICAGO, IL
ZIP 60614
Phone: (773) 270-1133

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  • Organization
  • Clinic/Center
  • Medical Specialty

About PURE SKINOLOGY LLC

This page provides the complete NPI Profile along with additional information for Pure Skinology Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1649807074 assigned on March 2020. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pure Skinology Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. David Othman Md (President)

NPI
1649807074
Provider Name
PURE SKINOLOGY LLC
Entity Type
Organization
Location Address
2202 N. HALSTED ST, SUITE 1 CHICAGO, IL 60614
Location Phone
(773) 270-1133
Mailing Address
2202 N. HALSTED ST, SUITE 1 CHICAGO, IL 60614
Mailing Phone
(312) 600-5826
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-25-2020
Last Update Date
07-15-2020
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
3207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

 
4207NI0002XAllopathic & Osteopathic Physicians

Dermatology
Clinical & Laboratory Dermatological Immunology

 
5207NP0225XAllopathic & Osteopathic Physicians

Dermatology
Pediatric Dermatology

 
6207NS0135XAllopathic & Osteopathic Physicians

Dermatology
Procedural Dermatology

 
7261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. DAVID OTHMAN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(312) 600-5826

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1649807074, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
4
Doubled → 8
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 8 + 9 + 1 + 6 + 0 + 1 + 4 + 0 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1649807074.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649807074, enumerated as an "organization" on March 25, 2020.

The provider is located at 2202 N. HALSTED ST, SUITE 1 CHICAGO, IL 60614 and the phone number is (773) 270-1133.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.