Derick Dermatology, PLLC
NPI 1174097836ActiveOrganization· Dermatology· Libertyville, IL
Dermatology in Libertyville, Illinois, registered in NPPES in January 2019. The authorized official on file is Amy Derick, MD, Medical Doctor.
Overview
| NPI | 1174097836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2019 |
| Last updated in NPPES | Sep 9, 2022 |
| Certified by provider | Sep 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dermatology providers in Libertyville
- 1841902038
- 1508252875
- 1700867694
- 1316697550
- 1538690037
- 1982816534