ASMSC-MORTON GROVE IL SC
NPI 1679158174
Dermatology in Morton Grove, IL

Active since March 16, 2021
9300 WAUKEGAN RD, MORTON GROVE, IL 60053(847) 299-1044(847) 299-0425 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Asmsc-morton Grove Il Sc NPPES

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

ASMSC-MORTON GROVE IL SC (NPI 1679158174) is a healthcare organization registered as a dermatology in Morton Grove, Illinois and active in the NPI registry since March 2021. The organization lists Clarence W Brown, Owner/ceo/president, as its authorized official.

NPPES Registry Identity

NPI1679158174
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameASMSC-MORTON GROVE IL SC
Location Address9300 WAUKEGAN RDMorton Grove, IL 60053-1312
Mailing Address2570 Niles RdSaint Joseph, MI 49085-3203 · (269) 985-0021 · Fax (269) 281-0281
Fax(847) 299-0425
Organization SubpartNo
Authorized OfficialClarence W BrownOwner/ceo/president · (269) 985-0021
Enumeration DateMarch 16, 2021
NPPES CertifiedMarch 16, 2021
NPI 1679158174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
9300 WAUKEGAN RD, Morton Grove, IL 60053

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 Asmsc-Morton Grove Il Sc's NPI number?

The NPI number for Asmsc-Morton Grove Il Sc is 1679158174. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Asmsc-Morton Grove Il Sc located?

Asmsc-Morton Grove Il Sc is located at 9300 Waukegan Rd, Morton Grove, IL 60053. The listed phone number is (847) 299-1044.

What is Asmsc-Morton Grove Il Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Asmsc-Morton Grove Il Sc was last updated on March 16, 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.