This study was conducted to evaluate the incidence rate as well as demographic and clinical characteristics of Cutaneous Leishmaniasis (CL) cases from 2014 to 2017 in Ilam province. In this registry-based descriptive study, the information from 4697 treated patients, who were diagnosed with CL from 2014 to 2017 in Ilam province and enrolled in this study, was used. Data were analyzed using SPSS software version 22. The incidence rate of CL in the years of 2014, 2015, 2016, and 2017 was 269.6, 244.4, 182.7 and 133.4 per 100,000, respectively, that indicating a downward trend in the rate of disease (p<0.001). Mehran and Dehloran counties had highest incidence rate (1208.1 and 227.3 per 100,000, respectively). The results of the present study indicating the high incidence rate of CL in Ilam province.