CRYSTAL LAKE DERMATOLOGY SC
NPI 1982777231
Dermatology in Crystal Lake, IL

Active since November 16, 2006
278 MEMORIAL DR, CRYSTAL LAKE, IL 60014(815) 477-9867(815) 477-9868 Get Directions Write a Review

NPPES record last updated: July 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Lake Dermatology Sc NPPES

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

CRYSTAL LAKE DERMATOLOGY SC (NPI 1982777231) is a healthcare organization registered as a dermatology in Crystal Lake, Illinois and active in the NPI registry since November 2006. The organization lists Jamie So-yung Chin, Physician, as its authorized official.

NPPES Registry Identity

NPI1982777231
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCRYSTAL LAKE DERMATOLOGY SC
Location Address278 MEMORIAL DRCrystal Lake, IL 60014
Mailing Address278 Memorial DrCrystal Lake, IL 60014 · (815) 477-9867 · Fax (815) 477-9868
Fax(815) 477-9868
Organization SubpartNo
Authorized OfficialJamie So-yung ChinPhysician · (815) 477-9858
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 29, 2013
NPI 1982777231 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.

278 MEMORIAL DR, Crystal Lake, IL 60014

Other Identifiers 2

Medicare PINCF8046IL
Medicare PIN526860IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Dentist (Pediatric Dentistry)
278 MEMORIAL DR, SUITE B
CRYSTAL LAKE, IL 60014
Dentist (Pediatric Dentistry)
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014
Dermatology
278 MEMORIAL DR
CRYSTAL LAKE, IL 60014

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 Crystal Lake Dermatology Sc's NPI number?

The NPI number for Crystal Lake Dermatology Sc is 1982777231. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Crystal Lake Dermatology Sc located?

Crystal Lake Dermatology Sc is located at 278 Memorial Dr, Crystal Lake, IL 60014. The listed phone number is (815) 477-9867.

What is Crystal Lake Dermatology Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Lake Dermatology Sc was last updated on July 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.