Organization · Type 2 NPI
Deaconess Illinois Specialty Clinic, Inc.
Dermatology Physician · Eldorado, IL
Practice location
1201 Pine St
Eldorado, IL 62930-1634
Fax (812) 450-6822
Mailing address
PO Box 632331
Cincinnati, OH 45263-2331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician Primary | 207N00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None 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…
23 other providers at this address
- Core Physician Resources PCEmergency Medicine Physician Eldorado, IL NPI 1649602368
- Crossroads Emergency Physicians LLPEmergency Medicine Physician Eldorado, IL NPI 1447796289
- Eldorado Emergency Group PCEmergency Medicine Physician Eldorado, IL NPI 1235868191
- Ferrell Hospital Community FoundationCritical Access Hospital Eldorado, IL NPI 1871600858
- Ferrell Hospital PharmacyCritical Access Hospital Eldorado, IL NPI 1649388356
- Ahmed Ali Tariq, DOInternal Medicine Physician Eldorado, IL NPI 1508843996
- Betty J. German, LCSWClinical Social Worker Eldorado, IL NPI 1750917647
- Bruce A. Sobko, MDInternal Medicine Physician Eldorado, IL NPI 1740268648
- Bruce H. Bradley, OTOccupational Therapist Eldorado, IL NPI 1801044417
- Christine Lucille Raben, LCSWClinical Social Worker Eldorado, IL NPI 1033651559
- Dallas Clayton Basinger, PharmDPharmacist Eldorado, IL NPI 1730768516
- Daphne Marie Wallace Gribble, CCC-SLPSpeech-Language Pathologist Eldorado, IL NPI 1891526521
About NPI 1245173129
Deaconess Illinois Specialty Clinic, Inc.'s National Provider Identifier is 1245173129, issued on Apr 14, 2026. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Eldorado, IL. The record was last updated on Apr 14, 2026.