ASSOCIATES IN DERMATOLOGY SC

BLOOMINGTON, IL
NPI1689863904
Entity TypeOrganization
Authorized ContactLORA F PHELPS
Insurance Billing Accounts Payable
309-662-8813
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2007-10-23
Last Update Date2008-04-20
Business Address
ASSOCIATES IN DERMATOLOGY SC
1404 EASTLAND DRIVE SUITE 204
BLOOMINGTON, IL 61701-3532
Phone number: 309-662-8813
Mailing Address
ASSOCIATES IN DERMATOLOGY SC
1404 EASTLAND DRIVE SUITE 204
BLOOMINGTON, IL 61701-3532
Phone number: 309-662-8813
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