Clinic/Center, Medical Specialty
PURE SKINOLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1649807074 · enumerated 2020-03-25 · record updated 2020-07-15. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. DAVID OTHMAN MD, President · (312) 600-5826
Addresses and phones
- Practice location 2202 N. HALSTED ST, SUITE 1, CHICAGO, IL, 60614 (773) 270-1133 Google Maps Apple Maps OpenStreetMap
- Mailing address 2202 N. HALSTED ST, SUITE 1, CHICAGO, IL, 60614 (312) 600-5826 Fax (608) 713-8272 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X
- Dermatology, Dermatopathology 207ND0900X
- Dermatology, Clinical & Laboratory Dermatological Immunology 207NI0002X
- Dermatology, Pediatric Dermatology 207NP0225X
- Dermatology, Procedural Dermatology 207NS0135X
- Clinic/Center, Ambulatory Surgical 261QA1903X
- Clinic/Center, Medical Specialty 261QM2500X · Primary
In this directory
Locations and evidence
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Practice location
CHICAGO, IL, 60614
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.