Southern Illinois Dermatology, PC
Southern Illinois Dermatology, PC is a Dermatology Physician in Herrin, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
220 N Park Ave Ste 2Herrin, IL 62948-3150
Phone: (618) 942-3344
Fax: (618) 942-5045
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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 | 1306870233 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ted Van Acker — President · (618) 942-3344 |
| NPI enumerated | July 10, 2006 |
| Last updated in NPPES | July 29, 2008 |
| Mailing address | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
Other providers in Herrin
-
Derek G Kenneaster, MD
220 N Park Ave Ste 2, Herrin, IL 62948-3150 · (618) 942-3344
-
Dr. Ted G Van Acker, DO
220 N Park Ave Ste 2, Herrin, IL 62948-3150 · (618) 942-3344