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ADVANCED FACIAL PLASTICS & MOHS NPI 1922295328


NPI Information

NPI: 1922295328
Provider Name: ADVANCED FACIAL PLASTICS & MOHS
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
1235 N MULFORD RD
SUITE 100
ROCKFORD, IL
ZIP 61107
Phone: (815) 484-9900
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ADVANCED FACIAL PLASTICS & MOHS is a mohs-micrographic surgery dermatology in Rockford, IL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. ADVANCED FACIAL PLASTICS & MOHS NPI is 1922295328. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1235 N MULFORD RD
SUITE 100
ROCKFORD, IL
ZIP 61107-879
Phone: (815) 484-9900

The provider's authorized official is Kimberly Macmurchy .
The authorized official title is Contracting And Credentialing and has the following contact phone number (815) 484-9900.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 11/8/2007.


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
1208200000XPlastic SurgeryILLINOISNo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckILLINOISNo
3207ND0101XDermatologyMOHS-Micrographic SurgeryILLINOISYes

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
1H48944MEDICARE 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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