LILLY AESTHETICS SC – NPI #1295374270
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

LILLY AESTHETICS SC is a dermatologist located in LOMBARD, IL. NPPES has assigned the NPI number 1295374270 to LILLY AESTHETICS SC on December 23, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

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 LILLY AESTHETICS SC below.

NPI Profile for
LILLY AESTHETICS SC

NPI Number
1295374270
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
LILLY AESTHETICS SC
Primary location
2500 S HIGHLAND AVE STE 220
LOMBARD, IL 60148-7103
Phone: (630) 317-7338 Fax:
Mailing address
PO BOX 644
MARQUETTE, MI 49855-0644
Phone: Fax:
Organization Subpart
No
Authorized Official
MERCY ODUEYUNGBO
PRESIDENT
Phone: (630) 317-7338
Updated
Certification Date
Dec 23, 2019

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

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.