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DERMATOLOGY PARTNERS OF THE NORTH SHORE, LLC

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Company Details

Entity Name: DERMATOLOGY PARTNERS OF THE NORTH SHORE, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 01 Jun 1999
Company Number: LLC_00291994
File Number: 00291994
Type of Management: Member Managed
Date Status Change: 25 Apr 2025
Expiration Date: 31 Dec 2048
Address 400 SKOKIE BLVD., STE. 475, NORTHBROOK, 60062, IL
Place of Formation: ILLINOIS

Agent

Name and Address Role Appointment Date
BRUCE BENNIN, 400 SKOKIE BLVD STE 475, NORTHBROOK, 60062 Agent 2021-01-05

Manager

Name and Address Role Appointment Date
DRALUCK JEFFREY C M.D., 1328 LINCOLN AVE S, HIGHLAND PARK, IL, 60035 Manager 2025-04-25
BENNIN BRUCE M.D., 1935 WATERFORD COURT, HIGHLAND PARK, IL, 60035 Manager 2025-04-25
HUFFMAN, NICOLE P., M.D., 160 OAK TERRACE, LAKE BLUFF, IL, 60044 Manager 2025-04-25
LAHTI, M.D. JAMES, 920 EUCLID LANE, WINNETKA, IL, 60093 Manager 2025-04-25
NIKKI KIM, M.D., 2615 CANTERBURY DRIVE, NORTHBROOK, IL, 60062 Manager 2025-04-25

National Provider Identifier

NPI Number:
1114063591

Authorized Person:

Name:
DR. JEFFREY C DRALUCK
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
364298571
Plan Year:
2022
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
50
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
49
Sponsors Telephone Number:

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
LIMITED LIABILITY CO 248000281 No data No data PROFESSIONAL LIMITED LIABILITY COMPANY No data 2011-06-23 2021-10-29 2025-01-01

USAspending Awards / Financial Assistance

Date:
2021-01-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
475600.85
Total Face Value Of Loan:
475600.85
Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
475600.00
Total Face Value Of Loan:
475600.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
475600
Current Approval Amount:
475600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
479602.97
Date Approved:
2021-01-21
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
475600.85
Current Approval Amount:
475600.85
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
478520.51

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Date of last update: 10 Jul 2025

Sources: Illinois Office of the Secretary of State