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Premier Dermatology Ltd

Premier Dermatology Ltd is a healthcare organization registered as Dermatology Physician in Crest Hill, IL, holding Type 2 (organization) NPI 1922053370 since 2006. The authorized official on file is Matthew Kelleher, Medical Director.

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NPI 1922053370
Entity type Organization (Type 2)
Legal business name Premier Dermatology Ltd
Practice address 2051 PLAINFIELD RD, Crest Hill, IL, 60403
Phone 8157414343
Fax 8157418660
Enumeration date 2006-05-24
Last updated in NPPES 2010-07-15

Authorized official

Name Matthew Kelleher
Title Medical Director
Phone 8157414343

Taxonomy & classification

Taxonomy code Specialty Primary License State
207N00000X Dermatology Physician Primary IL

Other identifiers

Identifier Type State Issuer
009900257 Other IL BCBS OF IL PROVIDER #
Copy-ready billing details
Provider: Premier Dermatology Ltd
NPI: 1922053370
Taxonomy: 207N00000X (Dermatology Physician)
Address: 2051 PLAINFIELD RD, Crest Hill, IL, 60403

Providers at this address

NPI Name Type Specialty Location
1154315760 Gayle Mccloskey Individual Dermatology Physician Crest Hill, IL
1952395436 Gregory Bezanis Individual Dermatology Physician Crest Hill, IL
1225022882 Matthew Kelleher Individual Dermatology Physician Crest Hill, IL
1790779270 Cristina Camara Individual Dermatology Physician Crest Hill, IL
1639164064 Steven Neubauer Individual Dermatology Physician Crest Hill, IL
1053502005 Sapna Vaghani Individual Dermatology Physician Crest Hill, IL
1578852836 Sogyong Auh Individual MOHS-Micrographic Surgery Physician Crest Hill, IL
1073865697 Madeline Abrams Individual Physician Assistant Crest Hill, IL

Verify this record

Cross-check NPI 1922053370 against the authoritative CMS record: view Premier Dermatology Ltd on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Premier Dermatology Ltd?
Premier Dermatology Ltd is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-07-15.