Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SKIN CARE CENTER OF SOUTHERN IL LLC
Active OrganizationSKIN CARE CENTER OF SOUTHERN IL LLC is a Dermatopathology organization located in MOUNT VERNON, Illinois. NPI 1669599841 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1669599841
- Provider Type
- Organization
- NPI Issued
- Mar 23, 2007 (19.405187774249 yrs)
- Last Updated
- Jun 25, 2013
- License
-
036094700 (IL)
Practice Information
- Address
-
4107 S WATER TOWER PLMOUNT VERNON, IL, 628646293Browse IL providers · Browse ZIP 62864
- Phone
- 6182440031
- Fax
- 6182440056
- Primary Specialty
-
Dermatopathology
207ND0900X
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.