Skin Care Center of Southern Il LLC
Skin Care Center of Southern Il LLC provides Dermatopathology Physician services in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4107 S Water Tower PlMount Vernon, IL 62864-6293 Not confirmed with CMS for 13 years — call before visiting
Phone: (618) 244-0031
Fax: (618) 244-0056
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence 036094700 (IL) |
|---|
Record details
| NPI number | 1669599841 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Nahass — Owner · (618) 244-0031 |
| NPI enumerated | March 23, 2007 |
| Last updated in NPPES | June 25, 2013 |
| Mailing address | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 |