DERMATOLOGY AND MOHS SURGERY INSTITUTE, LTD.

BLOOMINGTON, IL
NPI1770828626
Entity TypeOrganization
Authorized ContactDOUGLAS M LEONE
Owner
309-678-9596
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  036.129240)
Enumeration Date2012-12-04
Last Update Date2013-01-29
Business Address
DERMATOLOGY AND MOHS SURGERY INSTITUTE, LTD.
3024 E EMPIRE ST 2ND FLOOR, SUITE F
BLOOMINGTON, IL 61704-5402
Phone number: 309-678-9596
Mailing Address
DERMATOLOGY AND MOHS SURGERY INSTITUTE, LTD.
3024 E EMPIRE ST 2ND FLOOR, SUITE F
BLOOMINGTON, IL 61704-5402
Phone number: 309-678-9596
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