SKIN CARE CENTER OF SOUTHERN IL LLC
NPI 1669599841
Dermatology - Dermatopathology in Mount Vernon, IL

Q: What is Skin Care Center Of Southern Il LLC's NPI number?

The NPI number for Skin Care Center Of Southern Il LLC is 1669599841. It was assigned to this organization in the NPPES registry on March 23, 2007.

Q: What is Skin Care Center Of Southern Il LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Active since March 23, 2007

4107 S WATER TOWER PL, MOUNT VERNON, IL 62864(618) 244-0031(618) 244-0056 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Skin Care Center Of Southern Il Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN CARE CENTER OF SOUTHERN IL LLC (NPI 1669599841) is a healthcare organization registered as a dermatopathology in Mount Vernon, Illinois and active in the NPI registry since March 2007. The organization lists George Thomas Nahass, Owner, as its authorized official.

NPPES Registry Identity

NPI1669599841

Entity TypeOrganization

Primary Taxonomy207ND0900X

Legal Business NameSKIN CARE CENTER OF SOUTHERN IL LLC

Location Address4107 S WATER TOWER PLMount Vernon, IL 62864-6293

Mailing Address4107 S Water Tower PlMount Vernon, IL 62864-6293 · (618) 244-0031 · Fax (618) 244-0056

Phone(618) 244-0031

Fax(618) 244-0056

Organization SubpartNo

Authorized OfficialGeorge Thomas NahassOwner · (618) 244-0031

Enumeration DateMarch 23, 2007

Last NPPES UpdateJune 25, 2013

✔ NPI 1669599841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ND0900X

License✔ Licensed in IL · 036094700

Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

4107 S WATER TOWER PL, Mount Vernon, IL 62864

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Other Identifiers 3

OtherCH5023IL · Medicare Railroad

Medicare UPIN605050IL

Medicaid152566974412IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITED SKIN SPECIALISTS ILLINOIS LTD, PC

Dermatology