Organization
STROW DERMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M ELIZABETH STROW (MD)
(217) 793-5517
Entity
Organization
Contact information
Practice address
2041 W ILES AVE, SPRINGFIELD, IL 62704-7005
(217) 793-5517
Mailing address
2041 W ILES AVE, SPRINGFIELD, IL 62704-7005
(217) 793-5517
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779860
PROVIDER NUMBER
IL
Enumeration date
01/07/2008
Last updated
02/12/2008
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