CENTRAL ILLINOIS DERMATOLOGY, S.C.

Dermatology

Active Organization
NPI: 1548358054

Practice Address

5401 N KNOXVILLE AVE
SUITE 115
Peoria, IL 61614

Phone: (309) 691-2903

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 042004157 (IL)

Frequently Asked Questions

NPI 1548358054 is the National Provider Identifier for CENTRAL ILLINOIS DERMATOLOGY, S.C., a Dermatology provider located in Peoria, IL. This NPI was enumerated on October 10, 2006.

Quick Facts

NPI
1548358054
Type
Organization
Enumerated
Oct 10, 2006
Last Updated
Jul 13, 2010

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