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VITALSKIN MEDICAL GROUP IL PLLC NPI 1881384915


NPI Information

NPI: 1881384915
Provider Name: VITALSKIN MEDICAL GROUP IL PLLC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
621 S NEW BALLAS RD STE 5002B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 432-3033
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VITALSKIN MEDICAL GROUP IL PLLC is a dermatopathology dermatology in Saint Louis, MO. The provider is 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. VITALSKIN MEDICAL GROUP IL PLLC NPI is 1881384915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 S NEW BALLAS RD STE 5002B
SAINT LOUIS, MO
ZIP 63141-270
Phone: (314) 432-3033
Fax: (314) 995-9985

The provider's authorized official is Jeremy Scott Youse .
The authorized official title is Chief Medical Officer and has the following contact phone number (217) 729-7650.

The enumeration date for this NPI number is 5/11/2023 and was last updated on 5/11/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyYes

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: 5/5/2024

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