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1184761066
ASSOCIATED DERMATOLOGISTS LTD.
SPRINGFIELD, IL
NPI
1184761066
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Entity Type
Organization
Authorized Contact
LARRY M. NEWELL
President
217-726-6429
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 060-001150)
Enumeration Date
2007-01-31
Last Update Date
2008-02-07
Business Address
ASSOCIATED DERMATOLOGISTS LTD.
2951 MONTVALE DR SUITE B
SPRINGFIELD, IL 62704-5341
Phone number: 217-726-6429
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Mailing Address
ASSOCIATED DERMATOLOGISTS LTD.
2951 MONTVALE DR SUITE B
SPRINGFIELD, IL 62704-5341
Phone number: 217-726-6429
Copy
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