Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dermatology and Mohs Surgery Institute, Ltd

Organization Specialist · NPI 1770828626

Dermatology and Mohs Surgery Institute, Ltd provides Specialist services in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

303 N Hershey Rd Ste B
Bloomington, IL 61704-7720
Phone: (309) 451-3376
Fax: (309) 452-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036.129240 (IL)

Record details

NPI number1770828626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey McKenna — Physician Owner · (309) 451-3376
NPI enumeratedDecember 4, 2012
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address302 Innovation Dr Ste 400, Franklin, TN 37067-2022

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