Skin Care Center of Southern Il LLC
Skin Care Center of Southern Il LLC is a Dermatopathology Physician in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4107 S Water Tower PlMount Vernon, IL 62864-6293
Phone: (618) 244-0031
Fax: (618) 244-0056
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence 036094700 (IL) |
|---|
Record details
| NPI number | 1669599841 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Nahass — Owner · (618) 244-0031 |
| NPI enumerated | March 23, 2007 |
| Last updated in NPPES | June 25, 2013 |
| Mailing address | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 |