OrganizationActive
Skin Care Center of Southern Il LLC
NPI 1669599841 · Dermatopathology Physician · Mount Vernon, IL
Provider details
- NPI number
- 1669599841
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Nahass, Owner(618) 244-0031
- License
- 036094700 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4107 S Water Tower Pl
Mount Vernon, IL 62864-6293
Phone: (618) 244-0031
Fax: (618) 244-0056
Approximate (ZIP-level) locationGet directions
Mailing address
4107 S Water Tower Pl
Mount Vernon, IL 62864-6293
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2013-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.