Organization
DAVID M. SKILLRUD MD LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI BEST (OFFICE MANAGER)
(309) 266-8880
Entity
Organization
Contact information
Practice address
652 W JACKSON ST, MORTON, IL 61550-1536
(309) 266-8880
(309) 266-8889
Mailing address
652 W JACKSON ST, MORTON, IL 61550-1536
(309) 266-8880
(309) 266-8889
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005732063
BLUE CROSS BLUE SHIELD
IL
01
—
005145
HEALTH ALLIANCE
IL
Enumeration date
11/14/2006
Last updated
04/16/2008
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