Individual
DONNA T SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2613 W 98TH ST, EVERGREEN PARK, IL 60805-3237
(708) 925-2613
Mailing address
1107 BUELL AVE, JOLIET, IL 60435-6851
(708) 925-2613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277.002590
IL
Other
Enumeration date
09/13/2018
Last updated
10/30/2024
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