Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology and Mohs Surgery Institute, Ltd

Organization Specialist · NPI 1770828626

Dermatology and Mohs Surgery Institute, Ltd is a Specialist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

303 N Hershey Rd Ste B
Bloomington, IL 61704-7720
Phone: (309) 451-3376
Fax: (309) 452-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036.129240 (IL)

Record details

NPI number1770828626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey McKenna — Physician Owner · (309) 451-3376
NPI enumeratedDecember 4, 2012
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address302 Innovation Dr Ste 400, Franklin, TN 37067-2022

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