Individual
DR. MARK L SKOWRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
370 N YORK ST, ELMHURST, IL 60126-2320
(630) 834-6244
(630) 834-2209
Mailing address
370 N YORK ST, ELMHURST, IL 60126-2320
(630) 834-6244
(630) 834-2209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007453
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410040179
MEDICARE RAILROAD
IL
Enumeration date
08/03/2005
Last updated
04/11/2011
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