Organization · Type 2 NPI

Dermatology and Skin Cancer Center

Dermatology Physician · Bloomington, IL

NPI number 1093596652 Active

Practice location

3302 Gerig Dr Ste 100
Bloomington, IL 61704-6343

Fax (855) 710-6552

Other practice locations

  • 2011 Rock St, Peru, IL 61354-1385 · (815) 410-4555
  • 1508 W Reynolds St, Pontiac, IL 61764-2811 · (309) 533-7070

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

3 other providers at this address

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About NPI 1093596652

Dermatology and Skin Cancer Center's National Provider Identifier is 1093596652, issued on Oct 10, 2023. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bloomington, IL. The record was last updated on Dec 17, 2024.