Skowronski, Jan Pawel
Skowronski, Jan Pawel is an individual health care provider with primary practice located at 444 Roxbury Road , Rockford IL 61107-5059. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Skowronski, Jan Pawel can be contacted via phone (815) 398-3000.Contact Information
Primary practice address
444 Roxbury Road
Rockford IL 61107-5059
Phone: (815) 398-3000
Fax: (815) 398-3041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36112374 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 36112374 | Illinois |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 36112374 | Illinois |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 36112374 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 36112374 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 36112374 | Illinois |
Profile Details
| NPI number | 1790710283 |
|---|---|
| LBN Legal business name | Skowronski, Jan Pawel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 22nd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790710283 | NPPES |
| Illinois | MEDICAID | 036112374 1 | |
| Illinois | Other | CB0709/P0015992 | |
| Illinois | Other | 101 15504 |
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