Individual
DR. GARY STEVEN SKALETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 TERRY DR, SUGAR GROVE, IL 60554-5429
(630) 803-4711
Mailing address
P.O. BOX 778, SUGAR GROVE, IL 60554-5429
(630) 803-4711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-54690-1
IL
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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