institution
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.

Location: 2 Memorial Dr Ste 310, Decatur, IL, 62526-3983
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
State
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
State
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
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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