Dermassociates Ltd
Dermassociates Ltd is a healthcare organization registered as Specialist in Belleville, IL, holding Type 2 (organization) NPI 1942273974 since 2006. The authorized official on file is Gary Vicik, Ceo/Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942273974 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dermassociates Ltd |
| Practice address | 3608 W MAIN ST, Belleville, IL, 62226 |
| Phone | 6183976605 |
| Fax | 6182771251 |
| Enumeration date | 2006-02-09 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Gary Vicik |
|---|---|
| Title | Ceo/Physician |
| Phone | 6183976605 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 36-49185 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42561V34432 | Other | — | ADVANTRA |
| 101263 | Other | — | HEALTHLINK |
| 11512 | Other | — | ESSENCE |
| 202982 | Other | — | GREAT WEST |
| 42561V34432 | Other | — | GROUP HEALTH PLAN |
| 0778106 | Other | — | AETNA |
| 8215117 | Other | IL | BLUE SHIELD |
| STL0307017 | Other | — | UNITEDHEALTHCARE |
Copy-ready billing details
Provider: Dermassociates Ltd NPI: 1942273974 Taxonomy: 174400000X (Specialist) Address: 3608 W MAIN ST, Belleville, IL, 62226
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1295708212 | Gary Vicik | Individual | Specialist | Belleville, IL |
| 1588790984 | William Lay | Organization | Community/Retail Pharmacy | Belleville, IL |
Verify this record
Cross-check NPI 1942273974 against the authoritative CMS record: view Dermassociates 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
Where is Dermassociates Ltd located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.