ASMSC-MORTON GROVE IL SC
NPI 1679158174
Dermatology in Morton Grove, IL

NPI Status: Active since March 16, 2021

Contact Information

9300 WAUKEGAN RD
MORTON GROVE, IL
ZIP 60053
Phone: (847) 299-1044
Fax: (847) 299-0425

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  • Organization
  • Dermatology
  • Accepts Insurance

About ASMSC-MORTON GROVE IL SC

This page provides the complete NPI Profile along with additional information for Asmsc-morton Grove Il Sc, a provider established in Morton Grove, Illinois operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1679158174 assigned on March 2021. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Asmsc-morton Grove Il Sc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Clarence W Brown Jr. M.d., J.d. (Owner/ceo/president)

NPI
1679158174
Provider Name
ASMSC-MORTON GROVE IL SC
Entity Type
Organization
Location Address
9300 WAUKEGAN RD MORTON GROVE, IL 60053
Location Phone
(847) 299-1044
Location Fax
(847) 299-0425
Mailing Address
2570 NILES RD SAINT JOSEPH, MI 49085
Mailing Phone
(269) 985-0021
Mailing Fax
(847) 299-0425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2021
Last Update Date
03-16-2021
Code Navigator

A dermatologist like Asmsc-morton Grove Il Sc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ND0101XAllopathic & Osteopathic Physicians

Dermatology
MOHS-Micrographic Surgery

 
2207ND0900XAllopathic & Osteopathic Physicians

Dermatology
Dermatopathology

 
3207ZD0900XAllopathic & Osteopathic Physicians

Pathology
Dermatopathology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*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

CLARENCE W BROWN JR. M.D., J.D.

Authorized Official Title
OWNER/CEO/PRESIDENT
Authorized Official Phone
(269) 985-0021

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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.
1679158174
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261492516114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 2 + 5 + 1 + 6 + 1 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1679158174 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679158174, enumerated in the NPI registry as an "organization" on March 16, 2021

The provider is located at 9300 Waukegan Rd Morton Grove, Il 60053 and the phone number is (847) 299-1044

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. 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 March 16, 2021. 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].
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