SULEMAN J. BANGASH D.O.S.C.
NPI 1841469830
Dermatology - MOHS-Micrographic Surgery in Elgin, IL

Active since February 25, 2008CLIA 14D2315859 · Certificate of Compliance
1750 N RANDALL RD STE 120, ELGIN, IL 60123(847) 608-6647 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Suleman J. Bangash D.o.s.c. NPPES

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

SULEMAN J. BANGASH D.O.S.C. (NPI 1841469830) is a healthcare organization registered as a mohs-micrographic surgery in Elgin, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Certificate of Compliance certificate valid through July 14, 2027 and lists Suleman J. Bangash, Owner, as its authorized official.

NPPES Registry Identity

NPI1841469830
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSULEMAN J. BANGASH D.O.S.C.
Location Address1750 N RANDALL RD STE 120Elgin, IL 60123-7900
Mailing Address1750 N Randall Rd Ste 120Elgin, IL 60123-7900 · (815) 455-7143 · Fax (779) 356-2061
Organization SubpartNo
Authorized OfficialSuleman J. BangashOwner · (586) 944-3391
Enumeration DateFebruary 25, 2008
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1841469830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in IL · 036116375
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

1750 N RANDALL RD STE 120, Elgin, IL 60123

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 14D2315859

Suleman J Bangash Dosc · Rockford, IL
Active · expires Jul 14, 2027
CLIA Number14D2315859
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorAdam Levin
Laboratory Phone(847) 608-6647
Laboratory LocationSuleman J Bangash Dosc5995 Spring Creek Rd, Rockford, IL 61114
CLIA data matches this NPI record on: 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 4

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

Physician Assistant
1750 N RANDALL RD STE 120
ELGIN, IL 60123
Physician Assistant
1750 N RANDALL RD STE 120
ELGIN, IL 60123
Dermatology
1750 N RANDALL RD STE 120
ELGIN, IL 60123
Physician Assistant
1750 N RANDALL RD STE 120
ELGIN, IL 60123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841469830, enumerated as an "organization" on February 25, 2008.

The provider is located at 1750 N RANDALL RD STE 120 ELGIN, IL 60123 and the phone number is (847) 608-6647.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.