Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illinois Skin Center LLC

Organization Dermatology Physician · NPI 1588283402

Illinois Skin Center LLC is a Dermatology Physician in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2202 N Halsted St Ste 1
Chicago, IL 60614-3625
Phone: (312) 600-5826
Fax: (872) 260-5008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1588283402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Othman — President And Ceo · (312) 600-5826
NPI enumeratedApril 10, 2020
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address2202 N Halsted St Ste 1, Chicago, IL 60614-3625

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