PURE SKINOLOGY LLC – NPI #1649807074
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

PURE SKINOLOGY LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1649807074 to PURE SKINOLOGY LLC on March 25, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Jul 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PURE SKINOLOGY LLC below.

NPI Profile for
PURE SKINOLOGY LLC

NPI Number
1649807074
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PURE SKINOLOGY LLC
Primary location
2202 N. HALSTED ST, SUITE 1
CHICAGO, IL 60614
Phone: (773) 270-1133 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID OTHMAN
PRESIDENT
Phone: (312) 600-5826
Updated
Certification Date
Jul 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.