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Individual

MR. MARIAN SKOLARZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7447 W TALCOTT AVE, SUITE 366, CHICAGO, IL 60631-3719
(773) 594-1410
(773) 774-1402
Mailing address
7447 W TALCOTT AVE, SUITE 366, CHICAGO, IL 60631-3719
(773) 594-1410
(773) 774-1402

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-085369
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085369
IL
Enumeration date
08/30/2006
Last updated
03/07/2023
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