Individual
MS. JENNIFER MARIE SKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCMS, PA-C
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 19-250, CHICAGO, IL 60611-5975
(312) 695-6022
Mailing address
675 NORTH ST CLAIR, SUITE 19-250, CHICAGO, IL 60611
(312) 695-6022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014632-1
NY
363AS0400X
Surgical Physician Assistant
0003839
CO
363AS0400X
Surgical Physician Assistant
Primary
085-005496
IL
Other
Enumeration date
04/26/2011
Last updated
11/30/2015
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