Bielinski Dermatology Group, LLC · Non-Pharmacy Dispensing Site

3900 W 95th St Ste 12, Evergreen Park, IL 60805-1901

Overview

Bielinski Dermatology Group, LLC is a Non-Pharmacy Dispensing Site (organization) practicing in Evergreen Park, Illinois. The National Provider Identifier (NPI) is #1609725340, which was assigned on January 26, 2026, and the registration record was last updated on January 26, 2026. The practitioner's main practice location is at 3900 W 95th St Ste 12, Evergreen Park, IL 60805-1901; the contact telephone number is 7086363767, and the fax number is 7088735849. The primary taxonomy of Bielinski Dermatology Group, LLC is Non-Pharmacy Dispensing Site (332900000X). The authorized official for Bielinski Dermatology Group, LLC is Lawrence Lazelle Anderson (President/Owner).

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Provider Information

NPI 1609725340
Entity Type Organization
Organization Name BIELINSKI DERMATOLOGY GROUP, LLC
Provider Name BIELINSKI DERMATOLOGY GROUP, LLC
Practice Address 3900 W 95th St Ste 12
Evergreen Park
IL 60805-1901
Practice Telephone 7086363767
Practice Fax Number 7088735849
Mailing Address 16105 S La Grange Rd
Orland Park
IL 60467-5503
Mailing Telephone 7086363767
Mailing Fax Number 7088735849
Certification Date 2026-01-26
Enumeration Date 2026-01-26
Last Update Date 2026-01-26
Is Organization Subpart N

Authorized Official Information

Official Name LAWRENCE LAZELLE ANDERSON
Official Title PRESIDENT/OWNER
Credential MD
Telephone 9035216143

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y332900000XNon-Pharmacy Dispensing Site

Taxonomy Information

Primary Taxonomy

Code 332900000X
Taxonomy Non-Pharmacy Dispensing Site
Classification Non-Pharmacy Dispensing Site
Grouping Suppliers
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Pinnacle Dermatology, S.C. 6888 Grand River Rd, Brighton, MI 48114-9345Non-Pharmacy Dispensing Site2026-05-06
Pinnacle Dermatology, S.C. 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582Non-Pharmacy Dispensing Site2026-06-01
Urologic Health Center of Nj PC 67 Route 37 W, Toms River, NJ 08755-6400Non-Pharmacy Dispensing Site2026-05-27
Pinnacle Dermatology, S.C. 2394 N Alma School Rd, Chandler, AZ 85224-2425Non-Pharmacy Dispensing Site2026-06-01
Cabrillo Center for Rheumatic Disease Apc 5030 Camino De La Siesta Ste 106, San Diego, CA 92108-3117Non-Pharmacy Dispensing Site2026-05-19
Adventist Health System/Sunbelt Inc 1909 E Hwy 50, Clermont, FL 34711-1921Non-Pharmacy Dispensing Site2026-05-20
Pinnacle Dermatology, S.C. 24 White Bridge Pike, Nashville, TN 37205-1411Non-Pharmacy Dispensing Site2026-05-07
Complete Health Solutions 1176 North Pine Island Road, Suite 216, Plantation, FL 33322Non-Pharmacy Dispensing Site2026-05-15
Pinnacle Dermatology, S.C. 3131 Maple Dr Ne Ste 102, Atlanta, GA 30305-2515Non-Pharmacy Dispensing Site2026-05-06
Pinnacle Dermatology, S.C. 9500 E Ironwood Square Dr Ste 110, Scottsdale, AZ 85258-4582Non-Pharmacy Dispensing Site2026-06-01
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Location Information

Street Address 3900 W 95TH ST STE 12
City EVERGREEN PARK
State IL
Zip Code 60805-1901
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Christopher Michael Krippinger 3900 W 95th St Ste 12, Evergreen Park, IL 60805-1901Physician Assistant2017-12-05

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Gopal Madhav 3900 W 95th St, Ste 6, Evergreen Park, IL 60805-1901Internal Medicine Physician2005-06-12

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Foundations Counseling, LLC 9730 S Western Ave Ste 215, Evergreen Park, IL 60805Clinical Social Worker2017-10-26
Jarema John Skirnyk 2800 West 95th Street, Little Company of Mary Hospital, Evergreen Park, IL 60805Anesthesiology Physician2006-08-20
Stephanie J Cermak · Stephanie J Denny 2850 W. 95th Street, Suite 400, Evergreen Park, IL 60805Physician Assistant2012-04-12
Jena Griffin 3160 W 100th Place, Evergreen Park, IL 60805Clinical Social Worker2024-03-20
Step By Step The Spa for Your Mind 9730 S. Western Avenue Suite 234, Evergreen Park, IL 60805Mental Health Counselor2022-01-31
Lcr Primary Care LLC 9237 S.Pulaski, Ste. 2s, Evergreen Park, IL 60805Exclusive Provider Organization2015-11-09
Visionworks Inc. 9644 S. Western Ave., Evergreen Park, IL 60805Eyewear Supplier2008-03-25
Denise Adams 9217 S. Kedzie, Evergreen Park, IL 60805Occupational Therapy Assistant2011-10-06
Optech Orthotics & Prosthetics Services, Ltd 3900 W 95th St, Evergreen Park, IL 60805Prosthetic/Orthotic Supplier2011-11-01
Kenneth Bryce Miller 2809 W 95th, Evergreen Park, IL 60805Dentist2008-09-09
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Elmhurst Dermatology PC 103 N Haven Rd Ste 7, Elmhurst, IL 60126-2973Dermatology Physician2026-03-11
Forefront Dermatology, S.C. 3500 Nw 56th St Ste 201, Oklahoma City, OK 73112-4517MOHS-Micrographic Surgery Physician2026-03-17
Pinnacle Dermatology, S.C. 3131 Maple Dr Ne Ste 102, Atlanta, GA 30305-2515Non-Pharmacy Dispensing Site2026-05-06
Cosulich Dermatology 2 LLC 3350 Highway 138 Bldg 2, Wall Township, NJ 07719-9693Dermatology Physician2026-05-13
Tc Dermatology, Plc 16 Taft St N Ste 1, Humboldt, IA 50548-1704Dermatology Physician2026-04-01
Pinnacle Dermatology, S.C. 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443Non-Pharmacy Dispensing Site2026-05-06
Pinnacle Dermatology, S.C. 1725 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-2250Non-Pharmacy Dispensing Site2026-05-07
Tyler Matthew Bielinski 500 University Dr, Hershey, PA 17033-2360Student in an Organized Health Care Education/Training Program2026-03-20

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.