Skoczelas, Phillip A

Skoczelas, Phillip A is an individual health care provider with primary practice located at 5025 N Paulina St , Chicago IL 60640-2772. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Skoczelas, Phillip A can be contacted via phone (773) 989-1357.

Contact Information

Primary practice address
5025 N Paulina St Chicago IL 60640-2772
Phone: (773) 989-1357
Fax: (773) 989-5406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036057792 Illinois

Profile Details

NPI number 1548212020
LBN Legal business name Skoczelas, Phillip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 2nd, 2010 - about 15 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 1548212020 NPPES
Illinois MEDICAID 036057792-3

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