Dermassociates LTD

Specialist · Belleville, IL

Organization Active NPI

NPI number 1942273974

Practice location

3608 W Main St
Belleville, IL 62226-6225
Phone
(618) 397-6605
Fax
(618) 277-1251

Open in Google Maps

NPI record

NPI
1942273974
Entity type
Organization (Type 2)
Enumeration date
February 9, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 36-49185 IL

Authorized official

Name
Dr. Gary John Vicik, M.D.
Title
CEO/Physician
Phone
(618) 397-6605

About Dermassociates LTD

Dermassociates LTD is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3608 W Main St, Belleville, IL 62226-6225. The NPI number 1942273974 was assigned on February 9, 2006 and the record was last updated on August 22, 2020.

Dermassociates LTD lists a license in the registry: #36-49185 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Gary John Vicik, M.D., CEO/Physician.

Frequently asked questions

What is the NPI number of Dermassociates LTD?

The NPI number is 1942273974.

What is the phone number of Dermassociates LTD?

The phone number listed for the practice location is (618) 397-6605.

Where is Dermassociates LTD located?

3608 W Main St, Belleville, IL 62226-6225.

What is the taxonomy code for Dermassociates LTD?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Specialist providers in Belleville

All Specialist providers in Belleville, IL →