Graduated: 2014
NPI: 1760883441
Practice Locations (2)
VITALSKIN MEDICAL GROUP IL PLLC
355 E ASH AVE
DECATUR, IL 625266136
2174509826
VITALSKIN MEDICAL GROUP IL PLLC
917 REMINGTON RD
MATTOON, IL 619384210
2172053376
Source: CMS National Downloadable File, September 2026.