Central Illinois Dermatology, SC
Central Illinois Dermatology, SC provides Dermatology Physician services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5401 N Knoxville Ave Ste 115Peoria, IL 61614-5095 Not confirmed with CMS for 16 years — call before visiting
Phone: (309) 691-2903
Fax: (309) 691-2909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 042004157 (IL) |
|---|
Record details
| NPI number | 1548358054 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Kroodsma — President · (309) 691-2903 |
| NPI enumerated | October 10, 2006 |
| Last updated in NPPES | July 13, 2010 |
| Mailing address | 5401 N Knoxville Ave, Suite 115, Peoria, IL 61614-5095 |
Other providers in Peoria
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Dr. Katherine Ann Beaudry, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5095 · (309) 691-2903
-
Jamie Lynn Frey, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903
-
Dr. Michael L Hayes, DO
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 · (309) 674-7546
-
Christopher T Kroodsma, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903
-
Bruce A McLelland, MD
5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5098 · (309) 691-2903