OrganizationNorth Shore Dermatology, S.C.DermatologyAllopathic & Osteopathic PhysiciansPractice Address9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384(847) 675-9711PECOS EnrollmentBased on the most recent information from CMS, provider North Shore Dermatology, S.C. 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 ID1962508556Provider TypeOrganizationFull NameNorth Shore Dermatology, S.C.SubpartNoEnumeration Date9/15/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384Phone(847) 675-9711Fax(847) 675-9714Mailing LocationMailing Address9711 Skokie Blvd, Suite J, Skokie, IL 60077-1384Phone(847) 675-9711Fax(847) 675-9714Authorized OfficialNameLorber, David Alan (Owner)Phone(847) 675-9711Provider TaxonomiesCodeDescriptionLicenseCode207N00000XPrimaryDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinois