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Strow Dermatology Ltd
Medical Specialty Clinic/Center in Springfield, Illinois
NPI 1497930689

Strow Dermatology Ltd is a Medical Specialty Clinic/Center based in Springfield, IL and is specialized in Medical Specialty. Strow Dermatology Ltd practices in Springfield, IL. The NPI Number for Strow Dermatology Ltd is 1497930689 and holds a License No. (Illinois).

The current practice location address for Strow Dermatology Ltd is 2041 W Iles Ave, Springfield, IL and can be reached out via phone at 217-793-5517.

Location: 2041 W Iles Ave, Springfield, IL, 62704-7005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497930689
Provider Name
Strow Dermatology Ltd
Credential
Provider Entity Type
Organization
Address
2041 W Iles Ave, Springfield, IL, 62704-7005
Phone Number
217-793-5517
Fax Number
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
779860 01 IL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2041 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-7005
Phone Number
217-793-5517
Fax Number
person
Provider Business Mailing Address Details
Address
2041 W Iles Ave
City
Springfield
State
Illinois
Zip
62704-7005
Phone Number
217-793-5517
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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