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STROW DERMATOLOGY LTD NPI 1497930689


NPI Information

NPI: 1497930689
Provider Name: STROW DERMATOLOGY LTD
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2041 W ILES AVE
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 793-5517
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STROW DERMATOLOGY LTD is a medical specialty clinic center in Springfield, IL. The provider is 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). STROW DERMATOLOGY LTD NPI is 1497930689. The provider is registered as an organization entity type.

The provider's business location address is:

2041 W ILES AVE
SPRINGFIELD, IL
ZIP 62704-005
Phone: (217) 793-5517

The provider's authorized official is M Elizabeth Strow .
The authorized official title is Md and has the following contact phone number (217) 793-5517.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 2/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1779860MEDICARE UPINILLINOIS
2779860MEDICARE OSCAR/CERTIFICATION
3779860OTHERILLINOISPROVIDER NUMBER
41225123698MEDICARE UPIN
5779860MEDICARE PINILLINOIS
6D16565MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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