Individual
SKYE BF ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 E WASHINGTON ST, EAST PEORIA, IL 61611-2561
(309) 360-1813
Mailing address
5703 W CASSIDY DR, PEORIA, IL 61607-9369
(309) 360-1813
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.016633
IL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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