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Chicago Cosmetic Surgery and Dermatology Sc

Dermatology Physician in Chicago, IL · enumerated 2007 · authorized official Carolyn Jacob, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407068000

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Registry record

Entity type Organization (Type 2)
Legal business name Chicago Cosmetic Surgery and Dermatology Sc
Practice address 515 N State St Ste 900, Chicago, IL, 60654
Phone (312) 245-9965
Fax (312) 245-9964
Enumeration date May 4, 2007
Last updated in NPPES Apr 14, 2026

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 036-102098 (IL) Primary

Authorized official

Name Carolyn Jacob
Title Medical Director
Phone (312) 245-9965

Other identifiers

Identifier Type State Issuer
1634805 Other IL BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Chicago Cosmetic Surgery and Dermatology Sc?
The NPI for Chicago Cosmetic Surgery and Dermatology Sc is 1407068000, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Chicago Cosmetic Surgery and Dermatology Sc?
NPPES lists Carolyn Jacob (Medical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-14.