OrganizationActive
Southern Illinois Dermatology, PC
NPI 1306870233 · Dermatology Physician · Herrin, IL
Provider details
- NPI number
- 1306870233
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ted Van Acker, President(618) 942-3344
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
220 N Park Ave
Suite 2
Herrin, IL 62948-3150
Phone: (618) 942-3344
Fax: (618) 942-5045
Street-level locationGet directions
Mailing address
220 N Park Ave
Herrin, IL 62948-3150
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2008-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.