| NPI | 1144786740 |
|---|---|
| Doing Business As | DERMATOLOGY AND SKINCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SWETHA KANDULA Owner/Physician 217-801-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |