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

PRAIRIE DERMATOLOGY, PLLC

Active Organization

PRAIRIE DERMATOLOGY, PLLC is a Dermatology organization located in BLOOMINGTON, Illinois. NPI 1881333680 is currently active in the NPPES registry. Verify at CMS.

Dermatology · BLOOMINGTON, IL

Registration Details

NPI Number
1881333680
Provider Type
Organization
NPI Issued
May 31, 2022 (4.2399480470884 yrs)
Last Updated
Nov 23, 2022

Practice Information

Address
1015 S MERCER AVE STE GF7
BLOOMINGTON, IL, 617017107
Browse IL providers · Browse ZIP 61701
Phone
3096608442
Primary Specialty
Dermatology
207N00000X

Other Dermatology Organizations in BLOOMINGTON, IL

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.