Md Skincenter

LBN: Surgical Services Of Illinois, Sc
Md Skincenter is an health care organization with primary practice located at 1235 N Mulford Rd Ste. 205, Rockford IL 61107-3879. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Surgical Services Of Illinois, Sc can be contacted via phone (815) 484-9900, or through Jun, Andrew I. via phone (815) 484-9900.

Contact Information

Primary practice address
1235 N Mulford Rd Ste. 205 Rockford IL 61107-3879
Phone: (815) 484-9900
Fax: (815) 487-4949
Website:
Map and Directions
Authorized official contact:
Name: Jun, Andrew I. Doctor of Medicine (MD)
Phone: (815) 484-9900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1932437290
LBN Legal business name Surgical Services Of Illinois, Sc
DBA Doing business as Md Skincenter
Authorized official Jun, Andrew I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2009
Last updated Jan 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932437290 NPPES
Other IL2884 MEDICARE ID

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