PREMIER DERMATOLOGY LTD
NPI 1922053370
Dermatology in Crest Hill, IL

Q: What is Premier Dermatology Ltd's NPI number?

The NPI number for Premier Dermatology Ltd is 1922053370. It was assigned to this organization in the NPPES registry on May 24, 2006.

Q: What is Premier Dermatology Ltd's specialty?

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

Active since May 24, 2006

2051 PLAINFIELD RD, CREST HILL, IL 60403(815) 741-4343(815) 741-8660 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Premier Dermatology Ltd NPPES

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

PREMIER DERMATOLOGY LTD (NPI 1922053370) is a healthcare organization registered as a dermatology in Crest Hill, Illinois and active in the NPI registry since May 2006. The organization lists Matthew R Kelleher, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1922053370

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NamePREMIER DERMATOLOGY LTD

Location Address2051 PLAINFIELD RDCrest Hill, IL 60403-1865

Mailing Address2051 Plainfield RdCrest Hill, IL 60403-1865 · (815) 741-4343 · Fax (815) 741-8660

Phone(815) 741-4343

Fax(815) 741-8660

Organization SubpartNo

Authorized OfficialMatthew R KelleherMedical Director · (815) 741-4343

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 15, 2010

✔ NPI 1922053370 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.

2051 PLAINFIELD RD, Crest Hill, IL 60403

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Other Identifiers 3

Medicare ID-Type Unspecified974040IL · Provider Number

Medicare ID-Type Unspecified572020IL · Provider Number

Other009900257IL · Bcbs Of Il Provider #

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

Other Providers at the Same Location NPPES 14

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

STEPHANIE KAZANTSEV M.D.

Dermatology