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Distinctive Dermatologyltd
Nurse Practitioner in Swansea, Illinois
NPI 1518028398

Distinctive Dermatologyltd is a Nurse Practitioner based in Swansea, IL. Distinctive Dermatologyltd practices in Swansea, IL. The NPI Number for Distinctive Dermatologyltd is 1518028398 and holds a License No. (Illinois).

The current practice location address for Distinctive Dermatologyltd is 510 Fullerton Rd, Swansea, IL and can be reached out via phone at 618-233-7666 and via fax at 618-233-7461. You can also correspond with Distinctive Dermatologyltd through the mailing address at 510 FULLERTON ROAD, SWANSEA, IL - 62226-2970 (mailing address contact number: 618-233-7666).

Location: 510 Fullerton Rd, Swansea, IL, 62226-2970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518028398
Provider Name
Distinctive Dermatologyltd
Credential
Provider Entity Type
Organization
Address
510 Fullerton Rd, Swansea, IL, 62226-2970
Phone Number
618-233-7666
Fax Number
618-233-7461
Provider Enumeration Date
12/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8200530 01 IL BCBS GROUP LEGACY #
CA2289 01 IL MEDICARE RR GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
510 Fullerton Rd
City
Swansea
State
Illinois
Zip
62226-2970
Phone Number
618-233-7666
Fax Number
618-233-7461
person
Provider Business Mailing Address Details
Address
510 Fullerton Road
City
Swansea
State
Illinois
Zip
62226-2970
Phone Number
618-233-7666
Fax Number
618-233-7461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
()
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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