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Individual

DR. KORI LEVOS SKIDMORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
41 STONY PT, GALENA, IL 61036-9349
(312) 371-1157
(949) 703-8542
Mailing address
41 STONY PT, GALENA, IL 61036-9349
(312) 371-1157
(949) 703-8542

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
71-5445
IL
103TC0700X
Clinical Psychologist
Primary
71-5445
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071-005445
IL

Other

Enumeration date
09/21/2006
Last updated
06/05/2025
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