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Organization

ASSOCIATES IN DERMATOLOGY SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MARIE FIORINI (PRACTICE MANAGER)
(309) 662-8813
Entity
Organization

Contact information

Practice address
1404 EASTLAND DRIVE, SUITE 204, BLOOMINGTON, IL 61701-3532
(309) 662-8813
(309) 662-6835
Mailing address
1404 EASTLAND DRIVE, SUITE 204, BLOOMINGTON, IL 61701-3532
(309) 662-8813
(309) 662-6835

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/23/2007
Last updated
05/24/2024
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