Provider profile · NPI 1902933146

Academic Dermatology & Skin Cancer Institute, Sc

Dermatology, MOHS-Micrographic Surgery · Chicago, IL · NPI 1902933146 · 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

Feb 27, 2007

License(s)

042618008 (IL)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION50 E WASHINGTON ST STE 200 Chicago, IL 60602-2154312-230-0180
MAILINGPO BOX 809397 Chicago, IL 60680-9397312-230-0180

View on NPPES registry ↗

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