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Individual

AGNIESZKA SKOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1051 W RAND RD # 110, ARLINGTON HEIGHTS, IL 60004-2315
(847) 618-9292
(847) 618-9294
Mailing address
1051 W RAND RD # 110, ARLINGTON HEIGHTS, IL 60004-2315
(847) 618-9292
(847) 618-9294

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120363
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036120363
STATE LICENSE
IL
Enumeration date
07/23/2008
Last updated
10/17/2022
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