Skin Care Center of S. Illinois - Centralia – Dermatology Physician, NPI 1467955179
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Skin Care Center of S. Illinois - Centralia
2 CARLSON PKWY N STE 240
PLYMOUTH, MN 554474485
Phone: (763) 746-0030
Fax: (763) 367-7977
Type: Mailing
1054 Martin Luther King Dr
Centralia, IL 628013000
Phone: (618) 244-0031
Type: Location
4107, South Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628646293
Phone: (618) 244-0031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55447)
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