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Individual

LARISA ANNA SKILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8901 GOLF RD STE 301, DES PLAINES, IL 60016-4029
(847) 318-9330
(847) 723-9583
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.025864
IL

Other

Enumeration date
12/29/2022
Last updated
04/19/2023
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