MUSICK DERMATOLOGY & ADVANCED CLINICAL SPA, LLC
NPI 1922260587
Dermatology in Swansea, IL

Q: What is Musick Dermatology & Advanced Clinical Spa, LLC's specialty?

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

Active since June 25, 2008CLIA 14D1087512 · Waiver

4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226(618) 628-2588(618) 628-1363 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2020, Jan 3, 2020 (2 updates tracked since 2020).

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About Musick Dermatology & Advanced Clinical Spa, Llc NPPES

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

MUSICK DERMATOLOGY & ADVANCED CLINICAL SPA, LLC (NPI 1922260587) is a healthcare organization registered as a dermatology in Swansea, Illinois and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Doris Ann Glauber, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922260587

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameMUSICK DERMATOLOGY & ADVANCED CLINICAL SPA, LLC

Location Address4948 BENCHMARK CENTRE DRSwansea, IL 62226-2027

Mailing Address4948 Benchmark Centre DrSwansea, IL 62226-2027 · (618) 628-2588 · Fax (618) 628-1363

Phone(618) 628-2588

Fax(618) 628-1363

Organization SubpartNo

Authorized OfficialDoris Ann GlauberOffice Manager · (618) 628-2588

Enumeration DateJune 25, 2008

Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration

NPPES CertifiedJuly 22, 2020

✔ NPI 1922260587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in IL · 036089938

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.

4948 BENCHMARK CENTRE DR, Swansea, IL 62226

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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

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 14D1087512

Musick Dermatology & Advanced Clinical Spa, L L C · Swansea, IL

Active · expires Oct 16, 2027

CLIA Number14D1087512

Laboratory TypePhysician Office

Certificate Effective DateOctober 17, 2025

Certificate Expiration DateOctober 16, 2027

Laboratory DirectorSteve E. Musick M D

Laboratory Phone(618) 628-2588

Laboratory LocationMusick Dermatology & Advanced Clinical Spa, L L C4948 Benchmark Centre Dr, Swansea, IL 62226

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JENNIFER ADAMS PA

Physician Assistant