Individual
COLLEEN SKOTNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
23408 W APOLLO CT, LAKE VILLA, IL 60046-9638
(847) 856-9014
Mailing address
1250 GOLDFINCH LN, ANTIOCH, IL 60002-6410
(847) 977-7188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013436
IL
Other
Enumeration date
11/05/2009
Last updated
12/21/2016
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