Organization
VITALSKIN MEDICAL GROUP IL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SCOTT YOUSE MD (CHIEF MEDICAL DIRECTOR)
(415) 802-1310
Entity
Organization
Contact information
Practice address
1765 N ELSTON AVE STE 110, CHICAGO, IL 60642-1501
(773) 276-1100
Mailing address
1111 W KENYON RD, URBANA, IL 61801-1004
(415) 802-1310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
03/08/2023
Last updated
07/03/2025
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