Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERMCARE & HEALTHCARE CLINIC, LLC
Active OrganizationDERMCARE & HEALTHCARE CLINIC, LLC is a Nurse Practitioner organization located in CENTRALIA, Illinois. NPI 1053804740 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CENTRALIA, IL
Registration Details
- NPI Number
- 1053804740
- Provider Type
- Organization
- NPI Issued
- Jun 7, 2018 (8.1747749678046 yrs)
- Last Updated
- Jan 22, 2020
- License
-
209009665 (IL)
Practice Information
- Address
-
1007 M L KING DR STE 1CENTRALIA, IL, 628013009Browse IL providers · Browse ZIP 62801
- Phone
- 6189182566
- Fax
- 6189182565
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.