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

Dr. Jake Lazaroff, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1740654110

Dr. Jake Lazaroff, MD is a Dermatology in Chicago, Illinois. Graduated from Northwestern University Feinberg Medical School in 2019, 7 years ago. Practices with Meramec Dermatology LLC, a 12-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
7
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL, MO
In the registry since
2015
Specialties on file
4
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 # MC5067
Chicago, IL 60637-1443
Phone: (773) 702-0549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 240 E Huron St, Chicago, IL 60611-2909 — (312) 503-7975
  • 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 — (847) 570-4789
  • 3783 Vogel Rd, Arnold, MO 63010 — (636) 751-0995

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2024012056 (MO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2024012056 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125074787 (IL)
Dermatology Physician Taxonomy 207N00000X · Licence 125074787 (IL)

Record details

NPI number1740654110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2015
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing addressPo Box 953593, Saint Louis, MO 63195-3593

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Meramec Dermatology Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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