Associates in Dermatology SC
Associates in Dermatology SC is a Dermatology Physician in Bloomington, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1404 Eastland Dr Ste 204Bloomington, IL 61701-3532
Phone: (309) 662-8813
Fax: (309) 662-6835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1689863904 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Fiorini — Practice Manager · (309) 662-8813 |
| NPI enumerated | October 23, 2007 |
| Last updated in NPPES | May 24, 2024 |
| Certification date | May 24, 2024 |
| Mailing address | 1404 Eastland Drive, Suite 204, Bloomington, IL 61701-3532 |
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Mr. Thomas Richard Brander, MD
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Dr. Wynn Hugh Kao, MD, PHD
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