Provider profile · NPI 1174984959
Advanced Skin And Mohs Surgery Center S.C.
Dermatology, MOHS-Micrographic Surgery · Chicago, IL · NPI 1174984959 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Mar 8, 2016
License(s)
036096380 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2845 N. SHERIDAN ROAD STE 912 | Chicago, IL 60657 | 773-281-0046 |
| MAILING | 2570 NILES RD | Saint Joseph, MI 49085-3203 | 269-985-0021 |
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