Organization · Type 2 NPI
Center for Cosmetic Medicine, Ltd.
Specialist · Decatur, IL
NPI number
1104033794
Active
Practice location
2 Memorial Dr Ste 310
Decatur, IL 62526-3983
Fax (217) 877-9615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036060776 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Decatur
About NPI 1104033794
Center for Cosmetic Medicine, Ltd.'s National Provider Identifier is 1104033794, issued on May 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Decatur, IL. The record was last updated on Oct 17, 2013.