Individual
KEVIN BURNS SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1908 DEMPSTER ST, EVANSTON, IL 60202-1062
(225) 273-5773
Mailing address
1908 DEMPSTER ST, EVANSTON, IL 60202-1062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009462
IL
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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