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Southern Illinois Dermatology, PC

Dermatology Physician in Herrin, IL · enumerated 2006 · authorized official Ted Van Acker, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306870233

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Dermatology, PC
Practice address 220 N Park Ave, Suite 2, Herrin, IL, 62948
Phone (618) 942-3344
Fax (618) 942-5045
Enumeration date Jul 10, 2006
Last updated in NPPES Jul 29, 2008

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Ted Van Acker
Title President
Phone (618) 942-3344

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-29. Verify at npiregistry.cms.hhs.gov.
Where is Southern Illinois Dermatology, PC located?
The practice location on file with NPPES is in Herrin, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-29.