Associates in Dermatology Sc
NPI #1689863904 in Bloomington, Illinois
Provider Information
- NPI Number
- 1689863904
- Entity Type
- Organization
- Organization Name
- Associates in Dermatology Sc
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 23, 2007
- Last Updated
- May 24, 2024
Practice Location
- Address
- 1404 EASTLAND DRIVE
- Address 2
- SUITE 204
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3532
- Phone
- (309) 662-8813
Authorized Official
- Name
- JENNIFER MARIE FIORINI
- Title
- PRACTICE MANAGER
- Phone
- (309) 662-8813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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