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Individual

DR. KATHLEEN A SKOLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.N.

Contact information

Practice address
62 E GRAND AVE, SUITE 2, FOX LAKE, IL 60020-1428
(847) 973-9050
(847) 973-9051
Mailing address
62 E GRAND AVE, SUITE 2, FOX LAKE, IL 60020-1428
(847) 973-9050
(847) 973-9051

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001625439
BC BS
IL
Enumeration date
04/03/2007
Last updated
07/08/2007
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