Individual
JOSEPH SKERTICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3958 ROSE AVE, WESTERN SPRINGS, IL 60558-1032
(708) 246-9249
Mailing address
3958 ROSE AVE, WESTERN SPRINGS, IL 60558-1032
(708) 246-9249
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
2130000070
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363996150001
—
IL
Enumeration date
08/12/2006
Last updated
07/08/2007
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