Individual
JEFFREY MICHAEL SKALICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 437-5500
Mailing address
4001 KINGSTON PIKE, KNOXVILLE, TN 37919-5220
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.497120
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209022082
IL
Other
Enumeration date
07/27/2020
Last updated
08/26/2025
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