Dolehide Dermatology, S.C.
NPI 1003425836ActiveOrganization· Dermatology· New Lenox, IL
Dermatology in New Lenox, Illinois, registered in NPPES in July 2020. The authorized official on file is Conor Patrick Dolehide, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003425836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2020 |
| Last updated in NPPES | May 15, 2025 |
| Certified by provider | May 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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