Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Branch Dermatology LLC

Organization Dermatology Physician · NPI 1154721348

North Branch Dermatology LLC provides Dermatology Physician services in Niles, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7411 N Milwaukee Ave
Niles, IL 60714-3707
Phone: (773) 763-6000
Fax: (773) 763-6006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036133358 (IL)

Record details

NPI number1154721348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Fahrenbach — Owner · (847) 254-2193
NPI enumeratedAugust 26, 2014
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address7411 N Milwaukee Ave, Niles, IL 60714-3707

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