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

Surgical Services of Illinois, SC

Organization Dermatology Physician · NPI 1932437290

Surgical Services of Illinois, SC is a Dermatology Physician in Rockford, Illinois. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
12
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Practice location Address checks out

1235 N Mulford Rd Ste 205
Rockford, IL 61107-3879
Phone: (815) 484-9900
Fax: (815) 487-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Procedural Dermatology Physician Taxonomy 207NS0135X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatric Otolaryngology Physician Taxonomy 207YP0228X
Facial Plastic Surgery Physician Taxonomy 207YS0123X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X
Otolaryngic Allergy Physician Taxonomy 207YX0602X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1932437290
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Jun — President · (815) 484-9900
Other names Md Skincenter; Md Skincenter
NPI enumeratedNovember 25, 2009
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address1235 N Mulford Rd, Ste. 205, Rockford, IL 61107-3879

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