DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERMATOLOGY AND MOHS SURGERY INSTITUTE, LTD.

Active Organization

DERMATOLOGY AND MOHS SURGERY INSTITUTE, LTD. is a Specialist organization located in BLOOMINGTON, Illinois. NPI 1770828626 is currently active in the NPPES registry. Verify at CMS.

Specialist · BLOOMINGTON, IL

Registration Details

NPI Number
1770828626
Provider Type
Organization
NPI Issued
Dec 4, 2012 (13.685258794834 yrs)
Last Updated
Jan 29, 2013
License
036.129240 (IL)

Practice Information

Address
3024 E EMPIRE ST
2ND FLOOR, SUITE F
BLOOMINGTON, IL, 617045402
Browse IL providers · Browse ZIP 61704
Phone
3096789596
Primary Specialty
Specialist
174400000X
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.