Organization · Type 2 NPI

Deaconess Illinois Specialty Clinic, Inc.

Dermatology Physician · Eldorado, IL

NPI number 1245173129 Active

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

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone 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

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.