NPI 1770828626

Dermatology and Mohs Surgery Institute, LTD.

Organisation Specialist Bloomington, IL

Practice location

Address: 303 N Hershey Rd STE B, Bloomington, IL 61704-7720
Phone: (309) 451-3376
Fax: (309) 452-3376
Mailing address: 302 Innovation Dr STE 400, Franklin, TN 37067-2022

Authorised official

Name: Jeffrey K McKenna
Title: Physician Owner
Phone: (309) 451-3376

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 036.129240 (IL)

Other Specialist providers in Illinois →

Registry record

NPI: 1770828626
Entity type: Organization
NPI issued: 4 Dec 2012
Record last updated: 9 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.