Surgical Services of Illinois, Sc

NPI #1932437290 in Rockford, Illinois

Provider Information

NPI Number: 1932437290
Entity Type: Organization
Organization Name: Surgical Services of Illinois, Sc
Primary Specialty: Dermatology
Enumeration Date: Nov 25, 2009
Last Updated: Jan 30, 2023

Practice Location

Address: 1235 N MULFORD RD
Address 2: STE. 205
City: Rockford
State: Illinois
ZIP Code: 61107-3879
Phone: (815) 484-9900

Authorized Official

Name: DR. ANDREW I. JUN, M.D.
Title: PRESIDENT
Phone: (815) 484-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Otolaryngology	207Y00000X
Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery	207YS0123X
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X
Otolaryngology - Pediatric Otolaryngology — Pediatric Otolaryngology	207YP0228X
Otolaryngology - Otolaryngic Allergy — Otolaryngic Allergy	207YX0602X
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Dermatology	207N00000X	Primary

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