Organization
VITALSKIN MEDICAL GROUP IL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SCOTT YOUSE MD (CHIEF MEDICAL OFFICER)
(217) 729-7650
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD STE 5002B, SAINT LOUIS, MO 63141-8270
(314) 432-3033
(314) 995-9985
Mailing address
1111 W KENYON RD STE B, URBANA, IL 61801-1006
(217) 729-7650
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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