ADVANCED DERMATOLOGY CLINIC, INC.
NPI 1881167278
Dermatology in Freeport, IL

Q: What is Advanced Dermatology Clinic, Inc.'s NPI number?

The NPI number for Advanced Dermatology Clinic, Inc. is 1881167278. It was assigned to this organization in the NPPES registry on January 8, 2019.

Q: What is Advanced Dermatology Clinic, Inc.'s specialty?

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

Active since January 08, 2019

1036 W STEPHENSON ST, FREEPORT, IL 61032(888) 423-7880(608) 826-0281 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2020, Jan 8, 2019 (2 updates tracked since 2019).

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About Advanced Dermatology Clinic, Inc. NPPES

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

ADVANCED DERMATOLOGY CLINIC, INC. (NPI 1881167278) is a healthcare organization registered as a dermatology in Freeport, Illinois and active in the NPI registry since January 2019. The organization lists Harry Sharata, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881167278

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameADVANCED DERMATOLOGY CLINIC, INC.

Location Address1036 W STEPHENSON STFreeport, IL 61032-4865

Mailing Address6510 Grand Teton Plz Ste 302Madison, WI 53719-1029 · (608) 826-0285 · Fax (608) 826-0281

Phone(888) 423-7880

Fax(608) 826-0281

Organization SubpartYesParent: Advanced Dermatology, Inc.

Authorized OfficialHarry SharataMedical Director · (608) 826-0285

Enumeration DateJanuary 8, 2019

Last NPPES UpdateJune 10, 20202 updates tracked since enumeration

NPPES CertifiedJune 10, 2020

✔ NPI 1881167278 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.

1036 W STEPHENSON ST, Freeport, IL 61032

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 19

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

MR. EUGENE MICHAEL GAERTNER MD

Internal Medicine