Southwest Dermatology
Southwest Dermatology provides Dermatology Physician services in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
410 W Main StOttawa, IL 61350-2802 Not confirmed with CMS for 17 years — call before visiting
Phone: (815) 434-7231
Fax: (815) 434-3549
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
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036059742 (IL) |
|---|
Record details
| NPI number | 1770741860 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cheuk Yung — President · (815) 434-7231 |
| NPI enumerated | May 27, 2008 |
| Last updated in NPPES | December 15, 2008 |
| Mailing address | 410 W Main St, Ottawa, IL 61350-2802 |