Organization
UNITED SKIN SPECIALISTS ILLINOIS LTD, PC
Active
Other names
Skin Care Center of S. Illinois - Mt. Vernon, Skin Care Center of S. Illinois - Centralia
Organization subpart
No
Provider details
NPI number
Authorized official
JIM FEINSTEIN (PRESEIDENT/COO)
(763) 746-0030
Entity
Organization
Contact information
Practice address
4107 S WATER TOWER PL, MOUNT VERNON, IL 62864-6293
(618) 244-0031
Mailing address
2 CARLSON PKWY N STE 240, PLYMOUTH, MN 55447-4485
(763) 746-0030
(763) 367-7977
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
03/09/2018
Last updated
06/16/2018
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