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

Scott Blaszak

Individual provider Dermatology Physician · NPI 1265994925

Scott Blaszak is a Dermatology in Chicago, Illinois. Graduated from Medical College of Wisconsin in 2019, 7 years ago. Practices with Grossweiner and Blaszak PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Medical College of Wisconsin
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-6559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 — (414) 955-0518

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125.075349 (IL)

Record details

NPI number1265994925
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2019 (7 years in practice)
Group practice Grossweiner And Blaszak Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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