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Skin Care Center of Southern Il LLC

Dermatopathology Physician in Mount Vernon, IL · enumerated 2007 · authorized official George Nahass, Owner.

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

National Provider Identifier

1669599841

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Registry record

Entity type Organization (Type 2)
Legal business name Skin Care Center of Southern Il LLC
Practice address 4107 S Water Tower Pl, Mount Vernon, IL, 62864
Phone (618) 244-0031
Fax (618) 244-0056
Enumeration date Mar 23, 2007
Last updated in NPPES Jun 25, 2013

Taxonomy & classification

207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License 036094700 (IL) Primary

Authorized official

Name George Nahass
Title Owner
Phone (618) 244-0031

Other identifiers

Identifier Type State Issuer
152566974412 Medicaid IL -
CH5023 Other IL MEDICARE RAILROAD

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 type of organization is Skin Care Center of Southern Il LLC?
Skin Care Center of Southern Il LLC is registered in NPPES as a Dermatopathology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-25.