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

Southwest Dermatology, PC

Organization Dermatology Physician · NPI 1235374919

Southwest Dermatology, PC provides Dermatology Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7123 W Archer Ave
Chicago, IL 60638-2203 Not confirmed with CMS for 17 years — call before visiting
Phone: (773) 586-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (IL)
Nurse Practitioner Taxonomy 363L00000X (IL)

Record details

NPI number1235374919
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Moreno — Credentialing Specialist · (773) 586-4506
NPI enumeratedDecember 9, 2008
Last updated in NPPESDecember 9, 2008
Mailing address7123 W Archer Ave, Chicago, IL 60638-2203

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