Organization
KATHRYN SKOLARZ, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN SKOL M.D. (PHYSICIAN)
(312) 505-6577
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 366, CHICAGO, IL 60631-3745
(773) 594-1410
(773) 774-1402
Mailing address
7447 W TALCOTT AVE, SUITE 366, CHICAGO, IL 60631-3745
(773) 594-1410
(773) 774-1402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036136435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114272945
NPI TYPE 1
IL
Enumeration date
05/24/2016
Last updated
12/18/2020
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