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

Dermatology Care Center, Ltd

Organization Dermatology Physician · NPI 1619271939

Dermatology Care Center, Ltd is a Dermatology Physician in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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

22 Professional Park Dr
Maryville, IL 62062-5669
Phone: (618) 288-0998
Fax: (618) 288-9934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036099452 (IL)

Record details

NPI number1619271939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Connor — President · (618) 288-0998
NPI enumeratedDecember 29, 2010
Last updated in NPPESDecember 29, 2010
Mailing address22 Professional Park Dr, Maryville, IL 62062-5669

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