Organization · Type 2 NPI
Revive Skin Institute LLC
Procedural Dermatology Physician · Carbondale, IL
Practice location
1175 Cedar Ct, Carbondale
Carbondale, IL 62901-5333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | 036094335 (IL) |
| Procedural Dermatology Physician Primary | 207NS0135X | 036094335 (IL) |
Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…
7 other providers at this address
- Carbondale Family Medicine,llcFamily Medicine Physician Carbondale, IL NPI 1518023530
- Pediatric Group LLCPediatrics Physician Carbondale, IL NPI 1023582038
- Pediatric Group LLCRural Health Clinic/Center Carbondale, IL NPI 1376448456
- Anup K. Chaudhry, MDDermatology Physician Carbondale, IL NPI 1700843570
- Bindu Reddy, MDPediatrics Physician Carbondale, IL NPI 1215914775
- Monica L. Nagele, NPPsychiatric/Mental Health Nurse Practitioner Carbondale, IL NPI 1093387854
- Mukesh Chaudhry, MDFamily Medicine Physician Carbondale, IL NPI 1508866559
About NPI 1104178144
Revive Skin Institute LLC's National Provider Identifier is 1104178144, issued on Oct 14, 2012. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Carbondale, IL. The record was last updated on Oct 14, 2012.