Organization
DERMATOLOGISTS OF ILLINOIS, PLLC
Active
Other names
The Skin Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE BRENT KIRKLAND M.D. (OWNER)
(937) 434-2351
Entity
Organization
Contact information
Practice address
225 E DEERPATH STE 50, LAKE FOREST, IL 60045-1970
(847) 234-6121
Mailing address
5300 FAR HILLS AVE, DAYTON, OH 45429-2381
(937) 436-4146
(937) 530-4083
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036068947
IL
Other
Enumeration date
04/27/2006
Last updated
08/26/2024
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