Individual provider · Type 1 NPI

Jake Lazaroff, MD

Dermatology Physician · Chicago, IL

NPI number 1740654110 Active

Practice location

5841 S Maryland Ave # MC5067
Chicago, IL 60637-1443

Mailing address

PO Box 953593
St. Louis, MO 63195-3593

Other practice locations

  • 3783 Vogel Rd, Arnold, MO 63010 · (636) 751-0995
  • 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 · (847) 570-4789
  • 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 · (312) 503-7975

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101X2024012056 (MO)
Internal Medicine Physician 207R00000X125074787 (IL)
Dermatology Physician 207N00000X125074787 (IL)
Dermatology Physician Primary 207N00000X2024012056 (MO)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1740654110

Jake Lazaroff, MD's National Provider Identifier is 1740654110, issued on Nov 21, 2015. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 26, 2024.