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Central Illinois Dermatology, S.C.

Dermatology Physician in Peoria, IL · enumerated 2006 · authorized official Christopher Kroodsma, President.

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

National Provider Identifier

1548358054

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Registry record

Entity type Organization (Type 2)
Legal business name Central Illinois Dermatology, S.C.
Practice address 5401 N Knoxville Ave, Suite 115, Peoria, IL, 61614
Phone (309) 691-2903
Fax (309) 691-2909
Enumeration date Oct 10, 2006
Last updated in NPPES Jul 13, 2010

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 042004157 (IL) Primary

Authorized official

Name Christopher Kroodsma
Title President
Phone (309) 691-2903

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

What is the NPI number for Central Illinois Dermatology, S.C.?
The NPI for Central Illinois Dermatology, S.C. is 1548358054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Central Illinois Dermatology, S.C.?
NPPES lists Christopher Kroodsma (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-13.