Individual
IRENE R SKIRIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 829-4208
(312) 829-0987
Mailing address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 829-4208
(312) 829-0987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003767
—
IL
Enumeration date
10/21/2006
Last updated
08/27/2007
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