VITALSKIN MEDICAL GROUP IL PLLC – NPI #1417657321
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

VITALSKIN MEDICAL GROUP IL PLLC is a dermatologist located in CHICAGO, IL. NPPES has assigned the NPI number 1417657321 to VITALSKIN MEDICAL GROUP IL PLLC on March 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Jul 03, 2025. 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 VITALSKIN MEDICAL GROUP IL PLLC below.

NPI Profile for
VITALSKIN MEDICAL GROUP IL PLLC

NPI Number
1417657321
Enumeration Date

(more than 3 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
VITALSKIN MEDICAL GROUP IL PLLC
Primary location
1765 N ELSTON AVE STE 110
CHICAGO, IL 60642-1501
Phone: (773) 276-1100 Fax:
6 Other location(s):
374 Larry Power Rd
Bourbonnais, IL 60914-5187
Phone: (815) 933-2227
150 N Michigan Ave Ste 1200
Chicago, IL 60601-7605
Phone: (312) 263-4625
1733 N Harlem Ave
Chicago, IL 60707-4305
Phone: (773) 237-6666
680 N Lake Shore Dr Ste 930
Chicago, IL 60611-8700
Phone: (312) 861-3911
908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone: (630) 455-1756
2435 Dean St Ste 2E
St Charles, IL 60175-4827
Phone: (630) 433-7800
Mailing address
1111 W KENYON RD
URBANA, IL 61801-1004
Phone: (415) 802-1310 Fax:
Organization Subpart
No
Authorized Official
JEREMY YOUSE
CHIEF MEDICAL DIRECTOR
Phone: (415) 802-1310
Updated
Certification Date
Jul 03, 2025

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.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
207ND0900X
- Dermatology / Dermatopathology
207ND0101X
- Dermatology / MOHS-Micrographic Surgery

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.