Individual
JEFFREY SKINNER
Active
Individual
JEFFREY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036064948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620446
BLUE CROSS
IL
01
—
036064948
STATE LICENSE
IL
05
—
0360649481
—
IL
01
—
930106082
RAILROAD MCR
—
Enumeration date
06/07/2006
Last updated
06/07/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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