Organization
MARK L. SKOWRON PC
Active
Other names
Skowron Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LEONARD SKOWRON OD (PRESIDENT)
(630) 834-6244
Entity
Organization
Contact information
Practice address
370 N YORK ST, ELMHURST, IL 60126-2320
(630) 834-6244
Mailing address
370 N YORK ST, ELMHURST, IL 60126-2320
(630) 834-6244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780685552
INDIVIDUAL NPI NUMBER
IL
01
—
DN4795
MEDICARE RAILROAD
IL
Enumeration date
03/15/2007
Last updated
11/15/2023
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