Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Care Center, Ltd

Organization Dermatology Physician · NPI 1619271939

Dermatology Care Center, Ltd provides Dermatology Physician services in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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

22 Professional Park Dr
Maryville, IL 62062-5669 Not confirmed with CMS for 15 years — call before visiting
Phone: (618) 288-0998
Fax: (618) 288-9934
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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 036099452 (IL)

Record details

NPI number1619271939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Connor — President · (618) 288-0998
NPI enumeratedDecember 29, 2010
Last updated in NPPESDecember 29, 2010
Mailing address22 Professional Park Dr, Maryville, IL 62062-5669

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