Organization · Type 2 NPI

Prairie Dermatology, PLLC

Dermatology Physician · Bloomington, IL

NPI number 1881333680 Active

Practice location

1015 S Mercer Ave Ste GF7
Bloomington, IL 61701-7107

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone 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…

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About NPI 1881333680

Prairie Dermatology, PLLC's National Provider Identifier is 1881333680, issued on May 31, 2022. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Bloomington, IL. The record was last updated on Mar 9, 2026.