Organization · Type 2 NPI
Dermatology and Mohs Surgery Institute, Ltd.
Specialist · Bloomington, IL
NPI number
1770828626
Active
Practice location
303 N Hershey Rd Ste B
Bloomington, IL 61704-7720
Fax (309) 452-3376
Mailing address
302 Innovation Dr Ste 400
Franklin, TN 37067-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036.129240 (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 Bloomington
- Orthopedic and Sports Enhancement Center, LLCSpecialist Bloomington, IL NPI 1003900820
- Bloomington Pediatrics and Allergy LtdSpecialist Bloomington, IL NPI 1053506352
- Mycare Express Care IncSpecialist Bloomington, IL NPI 1396464657
- Vicki Tilton, LLCSpecialist Bloomington, IL NPI 1700061983
- Central Illinois Neuroradiology, LtdSpecialist Bloomington, IL NPI 1881641371
About NPI 1770828626
Dermatology and Mohs Surgery Institute, Ltd.'s National Provider Identifier is 1770828626, issued on Dec 4, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 9, 2026.