OrganizationIllinois Dermatology Institute, LlcDermatologyAllopathic & Osteopathic PhysiciansPractice Address9711 Skokie Blvd, Suite J., Skokie, IL 60077-1384(847) 675-9711(847) 769-3539PECOS EnrollmentBased on the most recent information from CMS, provider Illinois Dermatology Institute, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1891920898Provider TypeOrganizationFull NameIllinois Dermatology Institute, LlcSubpartNoEnumeration Date5/19/2009Last Updated5/28/2025Contact InformationPractice LocationPractice Address9711 Skokie Blvd, Suite J., Skokie, IL 60077-1384Phone(847) 675-9711FaxUnlisted FaxMailing LocationMailing Address903 Commerce Dr Ste 302, Oak Brook, IL 60523-8830Phone(847) 769-3539Fax(708) 671-1378Authorized OfficialNameLopatka, Keith A. (President)Phone(708) 218-5874Provider TaxonomiesCodeDescriptionLicenseCode207N00000XPrimaryDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer