ELISE SCOGGIN

QUINCY, IL
NPI1023420361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036146947)
Additional Taxonomies207N00000X Dermatology
(Licence: PA  OT015672)
Enumeration Date2014-05-21
Last Update Date2024-07-04
Business Address
ELISE SCOGGIN D.O.
1132 BROADWAY ST
QUINCY, IL 62301-2819
Phone number: 217-214-6250
Mailing Address
ELISE SCOGGIN D.O.
1005 BROADWAY ST
QUINCY, IL 62301-2834
Phone number: 217-223-1200