LOOP DERMATOLOGY & ACNE CARE CENTER LLC
NPI 1104093483
Clinic/Center in Chicago, IL

NPI Status: Active since May 14, 2008

Contact Information

111 N WABASH AVE
SUITE 2001
CHICAGO, IL
ZIP 60602
Phone: (312) 519-1465

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  • Organization
  • Clinic/Center

About LOOP DERMATOLOGY & ACNE CARE CENTER LLC

This page provides the complete NPI Profile along with additional information for Loop Dermatology & Acne Care Center Llc, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104093483 assigned on May 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 03610878 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Michele Burgess Md (Owner)

NPI
1104093483
Provider Name
LOOP DERMATOLOGY & ACNE CARE CENTER LLC
Entity Type
Organization
Location Address
111 N WABASH AVE SUITE 2001 CHICAGO, IL 60602
Location Phone
(312) 519-1465
Mailing Address
111 N WABASH AVE SUITE 2001 CHICAGO, IL 60602
Mailing Phone
(312) 519-1465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2008
Last Update Date
11-06-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
03610878
License State
IL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHELE BURGESS MD

Authorized Official Title
OWNER
Authorized Official Phone
(312) 519-1465

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H89366MEDICARE UPIN (02)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104093483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104096416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 9 + 6 + 4 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104093483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578568622DR. PAUL DALE LINDEN PSY.D.
Individual
Psychologist (Clinical)111 N WABASH AVE STE 1408
CHICAGO, IL 60602
(312) 499-6873
1578563904 ALLEN M PUTTERMAN M.D.
Individual
Ophthalmology111 N WABASH AVE STE 1722
CHICAGO, IL 60602
(312) 372-2256
1336132620DR. BERTRAM KRAFT M.D.
Individual
Ophthalmology111 N WABASH AVE SUITE1610
CHICAGO, IL 60602
(312) 263-6350
1912996406DR. RICHARD E. NOSAL D.M.D.
Individual
Dentist (General Practice)111 N WABASH AVE SUITE 2020
CHICAGO, IL 60602
(312) 726-8110
1780675553DR. THOMAS A CARLSON M.D.
Individual
Internal Medicine111 N WABASH AVE SUITE 1710
CHICAGO, IL 60602
(312) 641-2921
1598733214DR. GERSON HIRSH KAPLAN MD
Individual
Psychiatry & Neurology (Psychiatry)111 N WABASH AVE STE 119
CHICAGO, IL 60602
(312) 782-0319
1336105444 MARY R SZATKOWSKI-PRITIKIN MD
Individual
Ophthalmology111 N WABASH AVE STE 1810
CHICAGO, IL 60602
(312) 332-4296
1396779294DR. MUKESH C JAIN MD
Individual
Internal Medicine (Cardiovascular Disease)111 N WABASH AVE STE 1416
CHICAGO, IL 60602
(312) 726-9518
1528076825DR. JENNIFER LYNN BEVERLIN D.C.
Individual
Chiropractor111 N WABASH AVE SUITE 600
CHICAGO, IL 60602
(312) 332-0844
1790793883DR. RICHARD A LEVINSKY MD
Individual
Internal Medicine (Cardiovascular Disease)111 N WABASH AVE SUITE 1210
CHICAGO, IL 60602
(312) 332-7005
1114935202MS. SANDRA L. ADDISON L.C.S.W.
Individual
Social Worker (Clinical)111 N WABASH AVE SUITE 1408
CHICAGO, IL 60602
(312) 346-4716
1558374157DR. ELEANOR B. COE PSY.D.
Individual
Psychologist (Clinical)111 N WABASH AVE SUITE 1422
CHICAGO, IL 60602
(312) 236-7997
1124031497DR. SUNAINA S SAHGAL D.D.S.
Individual
Dentist111 N WABASH AVE SUITE #1921
CHICAGO, IL 60602
(312) 332-4424
1275648073DR. CHRISTINE LEANN HECK DPM
Individual
Podiatrist (Foot & Ankle Surgery)111 N WABASH AVE SUITE 1914
CHICAGO, IL 60602
(312) 641-2999
1235246570DR. DEBORAH ANNE BLAINE D.D.S.
Individual
Dentist (General Practice)111 N WABASH AVE #1921
CHICAGO, IL 60602
(312) 332-4424
1881704831DR. OLEG PETROV D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)111 N WABASH AVE SUITE 1914
CHICAGO, IL 60602
(312) 641-2999
1093810897DR. BRETT CHARLES PLYLER MD
Individual
Psychiatry & Neurology (Psychiatry)111 N WABASH AVE STE 1323
CHICAGO, IL 60602
(312) 782-5959
1831294602DR. MICHEAL T FLOOD PC
Organization
Podiatrist (Foot & Ankle Surgery)111 N WABASH AVE STE 1914
CHICAGO, IL 60602
(312) 641-2999
1497856348DR. FRED LEON FISHMAN
Individual
Internal Medicine (Gastroenterology)111 N WABASH AVE STE 910
CHICAGO, IL 60602
(312) 372-6383
1285735779DR. DAVID A KAISER M.D.
Individual
Psychiatry & Neurology (Psychiatry)111 N WABASH AVE #2101
CHICAGO, IL 60602
(312) 409-2835

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104093483, enumerated in the NPI registry as an "organization" on May 14, 2008

The provider is located at 111 N Wabash Ave Suite 2001 Chicago, Il 60602 and the phone number is (312) 519-1465

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.