Prairie Dermatology, PLLC
Prairie Dermatology, PLLC is a Dermatology Physician in Bloomington, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1015 S Mercer Ave Ste GF7Bloomington, IL 61701-7107
Phone: (309) 660-8442
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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 | 1881333680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Caitlyn Stoewer — Physician Assistant · (309) 531-1252 |
| NPI enumerated | May 31, 2022 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 9, 2026 |
| Mailing address | 1015 S Mercer Ave Ste Gf7, Bloomington, IL 61701-7107 |
Other providers in Bloomington
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Mr. Thomas Richard Brander, MD
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Dermatology and Skin Cancer Center
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Michael Thomas Ginnetti, MD
1015 S Mercer Ave Ste GF7, Bloomington, IL 61701-7107 · (309) 660-8442
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Dr. Wynn Hugh Kao, MD, PHD
3024 E Empire St Ste E & F, Bloomington, IL 61704-5402 · (309) 451-3376
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Adrienne Schupbach, MD
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Mr. James Richard Seehafer, MD
1404 Eastland Dr Ste 204, Bloomington, IL 61701 · (309) 662-8813
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Mr. Rajagopala Swaminathan, MD
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Kent S. Taulbee, MD
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