Skinner, Jeffrey

Skinner, Jeffrey is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Skinner, Jeffrey can be contacted via phone (815) 759-4546.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050
Phone: (815) 759-4546
Fax: (815) 759-4110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036064948 Illinois

Profile Details

NPI number 1578503991
LBN Legal business name Skinner, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jun 7th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578503991 NPPES
Illinois Other 036064948 STATE LICENSE
Illinois Other 01620446 STATE LICENSE
Illinois MEDICAID 0360649481 STATE LICENSE
Illinois Other 930106082 STATE LICENSE

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