ASMSC-MORTON GROVE IL SC – NPI #1679158174
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.

ASMSC-MORTON GROVE IL SC is a dermatologist located in MORTON GROVE, IL. NPPES has assigned the NPI number 1679158174 to ASMSC-MORTON GROVE IL SC on March 16, 2021. 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 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

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 ASMSC-MORTON GROVE IL SC below.

NPI Profile for
ASMSC-MORTON GROVE IL SC

NPI Number
1679158174
Enumeration Date

(more than 5 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
ASMSC-MORTON GROVE IL SC
Primary location
9300 WAUKEGAN RD
MORTON GROVE, IL 60053-1312
Phone: (847) 299-1044 Fax: (847) 299-0425
Mailing address
2570 NILES RD
SAINT JOSEPH, MI 49085-3203
Phone: (269) 985-0021 Fax: (269) 281-0281
Organization Subpart
No
Authorized Official
CLARENCE BROWN
OWNER/CEO/PRESIDENT
Phone: (269) 985-0021
Updated
Certification Date
Mar 16, 2021

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.