Healthcare Provider Details

I. General information

NPI: 1154131233
Provider Name (Legal Business Name): MCS DERMATOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BIESTERFIELD RD STE 565
ELK GROVE VILLAGE IL
60007-3362
US

IV. Provider business mailing address

1520 ARTAIUS PKWY UNIT 64
LIBERTYVILLE IL
60048-7906
US

V. Phone/Fax

Practice location:
  • Phone: 224-800-1668
  • Fax:
Mailing address:
  • Phone: 224-800-1668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA ABBAN
Title or Position: PHYSICIAN
Credential: MD/PHD
Phone: 224-800-1668