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Center For Cosmetic Medicine, Ltd.
Specialist in Decatur, Illinois
NPI 1104033794

Center For Cosmetic Medicine, Ltd. is a Specialist based in Decatur, IL. Center For Cosmetic Medicine, Ltd. practices in Decatur, IL. The NPI Number for Center For Cosmetic Medicine, Ltd. is 1104033794 and holds a License No. 036060776 (Illinois).

The current practice location address for Center For Cosmetic Medicine, Ltd. is 2 Memorial Dr Ste 310, Decatur, IL and can be reached out via phone at 217-877-9000 and via fax at 217-877-9615. You can also correspond with Center For Cosmetic Medicine, Ltd. through the mailing address at 2 MEMORIAL DR STE 310, DECATUR, IL - 62526-3983 (mailing address contact number: 217-877-9000).

Location: 2 Memorial Dr Ste 310, Decatur, IL, 62526-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104033794
Provider Name
Center For Cosmetic Medicine, Ltd.
Credential
Provider Entity Type
Organization
Address
2 Memorial Dr Ste 310, Decatur, IL, 62526-3983
Phone Number
217-877-9000
Fax Number
217-877-9615
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036060776 05 IL
institution
Provider Business Practice Location Address Details
Address
2 Memorial Dr Ste 310
City
Decatur
State
Illinois
Zip
62526-3983
Phone Number
217-877-9000
Fax Number
217-877-9615
person
Provider Business Mailing Address Details
Address
2 Memorial Dr Ste 310
City
Decatur
State
Illinois
Zip
62526-3983
Phone Number
217-877-9000
Fax Number
217-877-9615
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036060776 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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