Dermatology And Skin Cancer Center

LBN: Dermatology And Skin Cancer Center
Dermatology And Skin Cancer Center is an health care organization with primary practice located at 3302 Gerig Dr Ste 100 , Bloomington IL 61704-6343. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Dermatology And Skin Cancer Center can be contacted via phone (309) 533-7070, or through Schupbach, Adrienne via phone (309) 533-7070.

Contact Information

Primary practice address
3302 Gerig Dr Ste 100 Bloomington IL 61704-6343
Phone: (309) 533-7070
Fax: (855) 710-6552
Website:
Map and Directions
Authorized official contact:
Name: Schupbach, Adrienne Doctor of Medicine (MD)
Phone: (309) 533-7070

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1093596652
LBN Legal business name Dermatology And Skin Cancer Center
DBA Doing business as
Authorized official Schupbach, Adrienne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2023
Last updated Oct 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers