Individual
LESLI ELIZABETH SKOLARUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-5855
(734) 936-9020
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301091576
MI
2084V0102X
Vascular Neurology Physician
Primary
036162210
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301091576
MI
Other
Enumeration date
02/12/2007
Last updated
11/02/2022
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