Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CENTRAL ILLINOIS DERMATOLOGY, S.C.
Active OrganizationCENTRAL ILLINOIS DERMATOLOGY, S.C. is a Dermatology organization located in PEORIA, Illinois. NPI 1548358054 is currently active in the NPPES registry. Verify at CMS.
Dermatology · PEORIA, IL
Registration Details
- NPI Number
- 1548358054
- Provider Type
- Organization
- NPI Issued
- Oct 10, 2006 (19.866178684684 yrs)
- Last Updated
- Jul 13, 2010
- License
-
042004157 (IL)
Practice Information
- Address
-
5401 N KNOXVILLE AVESUITE 115PEORIA, IL, 616145095Browse IL providers · Browse ZIP 61614
- Phone
- 3096912903
- Fax
- 3096912909
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Organizations in PEORIA, IL
| Name | NPI |
|---|---|
| SODERSTROM DERMATOLOGY CENTER S C | 1710931670 |
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.