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

Vitalskin Medical Group Il PLLC

Organization Dermatopathology Physician · NPI 1881384915

Vitalskin Medical Group Il PLLC is a Dermatopathology Physician in Saint Louis, Missouri. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

621 S New Ballas Rd Ste 5002B
Saint Louis, MO 63141-8270
Phone: (314) 432-3033
Fax: (314) 995-9985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X

Record details

NPI number1881384915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Youse — Chief Medical Officer · (217) 729-7650
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023
Mailing address1111 W Kenyon Rd Ste B, Urbana, IL 61801-1006

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