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

Carly Roman, MD

Individual provider Internal Medicine Physician · NPI 1629416433

Carly Roman, MD is a Dermatology in Chicago, Illinois. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2013, 13 years ago. Practices with Modern Dermatology PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
IL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave Ste MC7082
Chicago, IL 60637-1465
Phone: (773) 702-6840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125063208 (IL)

Record details

NPI number1629416433
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2013
Last updated in NPPESJune 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2013 (13 years in practice)
Group practice Modern Dermatology Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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