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MOORE DERMATOLOGY SC
NPI 1659552875
Dermatology in Melrose Park, IL

Active since November 15, 2007CLIA 14D0699271 · Certificate of Compliance
501 W NORTH AVE STE 103, MELROSE PARK, IL 60160(708) 450-5086(708) 345-4075 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Jan 17, 2020 (2 updates tracked since 2020).

About Moore Dermatology Sc NPPES

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

MOORE DERMATOLOGY SC (NPI 1659552875) is a healthcare organization registered as a dermatology in Melrose Park, Illinois and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2028 and lists Julie A Moore, Physician, as its authorized official.

NPPES Registry Identity

NPI1659552875
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOORE DERMATOLOGY SC
Location Address501 W NORTH AVE STE 103Melrose Park, IL 60160-1603
Mailing Address501 W North Ave Ste 103Melrose Park, IL 60160-1603 · (708) 450-5086 · Fax (708) 345-4075
Phone(708) 450-5086
Fax(708) 345-4075
Organization SubpartNo
Authorized OfficialJulie A MoorePhysician · (708) 450-5086
Enumeration DateNovember 15, 2007
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1659552875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036075509
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
501 W NORTH AVE STE 103, Melrose Park, IL 60160
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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

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 14D0699271

Moore Dermatology · Melrose Park, IL
Active · expires Mar 23, 2028
CLIA Number14D0699271
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2026
Certificate Expiration DateMarch 23, 2028
Laboratory DirectorJulie A. Moore
Laboratory Phone(708) 450-5086
Laboratory LocationMoore Dermatology501 W North Ave, #103, Melrose Park, IL 60160
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

JULIE A MOORE M.D.
Dermatology
501 W NORTH AVE STE 103
MELROSE PARK, IL 60160
Cook County (708) 450-5086
TRACY MARIE ALLEN CAMPBELL M.D.
Dermatology
501 W NORTH AVE STE 103
MELROSE PARK, IL 60160
Cook County (708) 450-5086
MICHAELA ROSE REINHART PA-C
Physician Assistant
501 W NORTH AVE STE 103
MELROSE PARK, IL 60160
Cook County (708) 450-5086

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 Moore Dermatology Sc's NPI number?

The NPI number for Moore Dermatology Sc is 1659552875. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Moore Dermatology Sc located?

Moore Dermatology Sc is located at 501 W North Ave Ste 103, Melrose Park, IL 60160. The listed phone number is (708) 450-5086.

What is Moore Dermatology Sc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Moore Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D0699271) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moore Dermatology Sc was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.