MCCAW DERMATOLOGY SC
NPI 1710775531
Dermatology in Highland Park, IL

Active since April 30, 2025CLIA 14D2342551 · Microscopy
1160 PARK AVE W STE 3E, HIGHLAND PARK, IL 60035(847) 926-3109(847) 469-4061 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Aug 7, 2025 (2 updates tracked since 2025).

About Mccaw Dermatology Sc NPPES

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

MCCAW DERMATOLOGY SC (NPI 1710775531), doing business as Mccaw Dermatology, is a healthcare organization registered as a dermatology in Highland Park, Illinois and active in the NPI registry since April 2025. The organization holds a CLIA Microscopy certificate valid through April 20, 2028 and lists Richard Greene, Physician, as its authorized official.

NPPES Registry Identity

NPI1710775531
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMCCAW DERMATOLOGY SC
Location Address1160 PARK AVE W STE 3EHighland Park, IL 60035-2271
Mailing Address1160 Park Ave W Ste 3eHighland Park, IL 60035-2271 · (847) 926-3109 · Fax (847) 469-4061
Fax(847) 469-4061
Organization SubpartNo
Authorized OfficialRichard GreenePhysician · (847) 926-3109
Enumeration DateApril 30, 2025
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1710775531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1160 PARK AVE W STE 3E, Highland Park, IL 60035

Other Names 1

Doing Business AsMccaw Dermatology

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2342551

Mccaw Dermatology · Highland Park, IL
Active · expires Apr 20, 2028
CLIA Number14D2342551
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorRichard M. Greene
Laboratory Phone(847) 926-3109
Laboratory LocationMccaw Dermatology1160 Park Ave West - Ste 3E, Highland Park, IL 60035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Dermatology
1160 PARK AVE W STE 3E
HIGHLAND PARK, IL 60035

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 Mccaw Dermatology Sc's NPI number?

The NPI number for Mccaw Dermatology Sc is 1710775531. It was assigned to this organization in the NPPES registry on April 30, 2025. The provider is doing business as McCaw Dermatology.

Where is Mccaw Dermatology Sc located?

Mccaw Dermatology Sc is located at 1160 Park Ave W Ste 3E, Highland Park, IL 60035. The listed phone number is (847) 926-3109.

What is Mccaw Dermatology Sc's specialty?

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

Does Mccaw Dermatology Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2342551) is associated with this NPI, valid through April 20, 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 Mccaw Dermatology Sc was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.