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Organization

Vitalskin Medical Group Il PLLC

NPI Record: ActiveDermatology
NPI1063030252
Mattoon, Illinois

Provider's NPPES record last updated: July 3, 2025

Overview

Entity Type
Organization
NPI
1063030252
Primary Specialty
Dermatology
Practice Location
Mattoon, Illinois
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 12:25 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

    Taxonomy code 207N00000X
  • Dermatology

    MOHS-Micrographic Surgery

    Allopathic & Osteopathic Physicians

    The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

    Taxonomy code 207ND0101X
  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X

Practice Locations

Practice Location

917 Remington Rd

Mattoon, Illinois 61938-4210

Phone: (217) 205-3376

Additional Practice Location

1111 W Kenyon Rd

Urbana, Illinois 61801-1010

Phone: (217) 729-7650

Additional Practice Location

355 E Ash Ave

Decatur, Illinois 62526

Phone: (217) 450-9826

Additional Practice Location

621 S New Ballas Rd Ste 5002b

Saint Louis, Missouri 63141-8270

Phone: (314) 432-3033

Fax: (314) 995-9985

Additional Practice Location

150 N Michigan Ave Ste 1200

Chicago, Illinois 60601-7605

Phone: (312) 263-4625

Additional Practice Location

908 N Elm St Ste 300

Hinsdale, Illinois 60521-3625

Phone: (630) 455-1756

Additional Practice Location

2435 Dean St Ste 2e

St Charles, Illinois 60175-4827

Phone: (630) 443-7800

Additional Practice Location

374 Larry Power Rd

Bourbonnais, Illinois 60914-5187

Phone: (815) 933-2227

Additional Practice Location

1120 N Melvin St

Gibson City, Illinois 60936-1477

Phone: (217) 729-7664

Record Information

Enumeration Date
July 14, 2020
Provider's NPPES Record Last Updated
July 3, 2025
Certification Date
July 3, 2025
NPISignal NPPES Dataset
August 2026

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