Quimby Dermatology, Ltd. in Normal - Specialist
Quimby Dermatology, Ltd. - NPI 1669495073
Quimby Dermatology, Ltd. is a Specialist in Normal, Illinois. Quimby Dermatology, Ltd. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Quimby Dermatology, Ltd. is 1669495073. The last update date is 2020-08-22.
Quimby Dermatology, Ltd.'s current location address is 1300 Franklin Ave, Normal, Illinois. You can contact this provider via phone number 3094510214 and fax number 3094518210. The mailing address for Quimby Dermatology, Ltd. is 1300 Franklin Ave, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quimby Dermatology, Ltd. |
|---|---|
| Address | 1300 Franklin Ave, Normal, Illinois |
| Phone Number | 3094510214 |
| Fax Number | 3094518210 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Quimby R. Steven |
| Credentials | M.D. |
| Telephone Number | 3094510214 |
NPI Number Detail
| NPI Number | 1669495073 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1300 Franklin Ave |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617613592 |
| Phone Number | 3094510214 |
| Fax Number | 3094518210 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5721563 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Quimby Dermatology, Ltd. by the Centers for Medicare & Medicaid Services?
The Quimby Dermatology, Ltd. has been issued the NPI (National Provider Identifier) 1669495073 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Quimby Dermatology, Ltd.?
The Quimby Dermatology, Ltd. is physically situated at 1300 Franklin Ave, in the city of Normal, state of IL, with the postal code 617613592.
What is Quimby Dermatology, Ltd.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Quimby Dermatology, Ltd.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Quimby Dermatology, Ltd. receive its 1669495073 assignment?
The Quimby Dermatology, Ltd. was assigned its 1669495073 on 2006-07-26, which is the date when this unique identifier was issued to the organization.
When was the Quimby Dermatology, Ltd.'s information last updated?
The Quimby Dermatology, Ltd.'s information was last updated on 2020-08-22.