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
Fax: (815) 398-3041
Website:

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 9 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 1790710283 NPPES
Illinois MEDICAID 036112374 1
Illinois Other CB0709/P0015992
Illinois Other 101 15504

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