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

Dermatology and Skin Cancer Center

Organization Dermatology Physician · NPI 1093596652

Dermatology and Skin Cancer Center is a Dermatology Physician in Bloomington, Illinois. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

3302 Gerig Dr Ste 100
Bloomington, IL 61704-6343
Phone: (309) 533-7070
Fax: (855) 710-6552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2011 Rock St, Peru, IL 61354-1385 — (815) 410-4555
  • 1508 W Reynolds St, Pontiac, IL 61764-2811 — (309) 533-7070

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1093596652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adrienne Schupbach — Md/Practice Owner · (309) 533-7070
NPI enumeratedOctober 10, 2023
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343

Other providers in Bloomington