Derick Dermatology, PLLC
NPI 1639670904ActiveOrganization· Dermatology· Buffalo Grove, IL
Dermatology in Buffalo Grove, Illinois, registered in NPPES in February 2018. The authorized official on file is Amy Derick, M.D., Medical Director.
Overview
| NPI | 1639670904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2018 |
| Last updated in NPPES | Sep 9, 2022 |
| Certified by provider | Sep 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 36112935 | IL |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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