RESERVE DERMATOLOGY & AESTHETICS PLLC
NPI 1760151542
Dermatology in Glenview, IL

Active since September 07, 2021CLIA 14D2235339 · Waiver
2350 RAVINE WAY STE 400, GLENVIEW, IL 60025(847) 400-2542(847) 221-6935 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2021, Sep 7, 2021 (2 updates tracked since 2021).

About Reserve Dermatology & Aesthetics Pllc NPPES

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

RESERVE DERMATOLOGY & AESTHETICS PLLC (NPI 1760151542) is a healthcare organization registered as a dermatology in Glenview, Illinois and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Elizabeth Damstetter, Owner, as its authorized official.

NPPES Registry Identity

NPI1760151542
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRESERVE DERMATOLOGY & AESTHETICS PLLC
Location Address2350 RAVINE WAY STE 400Glenview, IL 60025-7621
Mailing Address2350 Ravine Way Ste 400Glenview, IL 60025-7621 · (847) 400-2542 · Fax (847) 221-6935
Fax(847) 221-6935
Organization SubpartNo
Authorized OfficialElizabeth DamstetterOwner · (847) 400-2542
Enumeration DateSeptember 7, 2021
Last NPPES UpdateDecember 2, 20212 updates tracked since enumeration
NPPES CertifiedDecember 2, 2021
NPI 1760151542 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.
2350 RAVINE WAY STE 400, Glenview, IL 60025

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 Waiver 14D2235339

Reserve Dermatology & Aesthetics · Northfield, IL
Active · expires Sep 7, 2027
CLIA Number14D2235339
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorElizabeth M. Damstetter
Laboratory Phone(847) 400-2542
Laboratory LocationReserve Dermatology & Aesthetics191 Waukegan Rd - Ste 103, Northfield, IL 60093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Specialist/Technologist, Other (Surgical Technologist)
2350 RAVINE WAY STE 400
GLENVIEW, IL 60025
Nurse Practitioner
2350 RAVINE WAY STE 400
GLENVIEW, IL 60025
Dermatology
2350 RAVINE WAY STE 400
GLENVIEW, IL 60025
Clinic/Center (Ambulatory Surgical)
2350 RAVINE WAY STE 400
GLENVIEW, IL 60025

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 Reserve Dermatology & Aesthetics PLLC's NPI number?

The NPI number for Reserve Dermatology & Aesthetics PLLC is 1760151542. It was assigned to this organization in the NPPES registry on September 7, 2021.

Where is Reserve Dermatology & Aesthetics PLLC located?

Reserve Dermatology & Aesthetics PLLC is located at 2350 Ravine Way Ste 400, Glenview, IL 60025. The listed phone number is (847) 400-2542.

What is Reserve Dermatology & Aesthetics PLLC's specialty?

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

Does Reserve Dermatology & Aesthetics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2235339) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reserve Dermatology & Aesthetics PLLC was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.