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“Dermatology Physician” (Herrin, IL)

Location: Herrin, IL
Taxonomy: Dermatology Physician.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1306870233 — SOUTHERN ILLINOIS DERMATOLOGY, PC
Practice Location Address:
220 N PARK AVE SUITE 2
HERRIN IL
62948-3150
Practice Phone: 618-942-3344
1457372724 — DEREK G KENNEASTER MD
Practice Location Address:
220 N PARK AVE SUITE 2
HERRIN IL
62948-3150
Practice Phone: 618-942-3344
1720025562 — DR. TED G VAN ACKER D.O.
Practice Location Address:
220 N PARK AVE SUITE 2
HERRIN IL
62948-3150
Practice Phone: 618-942-3344

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