Central Illinois Dermatology, S.c.

NPI 1548358054

Information of Central Illinois Dermatology, S.c.

The NPI 1548358054 is an Organization type. NPI No 1548358054 belongs to Central Illinois Dermatology, S.c.. Central Illinois Dermatology, S.c. specializes in Dermatology. is practising at 5401 N Knoxville Ave, Peoria, Illinois 61614. You can also contact him via phone number (309) 691-2903.

Practice address located

  • 5401 N Knoxville Ave
  • Peoria, Illinois 61614
  • (309) 691-2903
  • (309) 691-2903

Mailling address located

  • 5401 N Knoxville Ave
  • Peoria, Illinois 61614
  • (309) 691-2903
  • (309) 691-2909
Central Illinois Dermatology, S.c. is PECOS enrolled.
NPI No 1548358054
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes207N00000XDermatology042004157Illinois
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