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Quimby Dermatology, Ltd.
Specialist in Normal, Illinois
NPI 1669495073

Quimby Dermatology, Ltd. is a Specialist based in Normal, IL. Quimby Dermatology, Ltd. practices in Normal, IL. The NPI Number for Quimby Dermatology, Ltd. is 1669495073 and holds a License No. (Illinois).

The current practice location address for Quimby Dermatology, Ltd. is 1300 Franklin Ave, Normal, IL and can be reached out via phone at 309-451-0214 and via fax at 309-451-8210.

Location: 1300 Franklin Ave, Normal, IL, 61761-3592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669495073
Provider Name
Quimby Dermatology, Ltd.
Credential
Provider Entity Type
Organization
Address
1300 Franklin Ave, Normal, IL, 61761-3592
Phone Number
309-451-0214
Fax Number
309-451-8210
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5721563 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1300 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3592
Phone Number
309-451-0214
Fax Number
309-451-8210
person
Provider Business Mailing Address Details
Address
1300 Franklin Ave
City
Normal
State
Illinois
Zip
61761-3592
Phone Number
309-451-0214
Fax Number
309-451-8210
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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