Individual
DR. DAVID M SKILLRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
652 W JACKSON ST, MORTON, IL 61550-1536
(309) 266-8880
(309) 266-8889
Mailing address
652 W JACKSON ST, MORTON, IL 61550-1536
(309) 266-8880
(309) 266-8889
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-070507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005145
HEALTH ALLIANCE
IL
01
—
005732063
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/31/2006
Last updated
02/27/2020
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