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

Pure Skinology LLC

Organization Dermatology Physician · NPI 1649807074

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

In the registry since
2020
Specialties on file
8
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
Phone: (773) 270-1133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1649807074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Othman — President · (312) 600-5826
NPI enumeratedMarch 25, 2020
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address2202 N. Halsted St, Suite 1, Chicago, IL 60614

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