Skyles, Russel Lee

Skyles, Russel Lee is an sole proprietor health care provider with primary practice located at 200 E Evergreen Ave Suite 129, Mt Prospect IL 60056-3240. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Skyles, Russel Lee can be contacted via phone (847) 259-7560.

Contact Information

Primary practice address
200 E Evergreen Ave Suite 129 Mt Prospect IL 60056-3240
Phone: (847) 259-7560
Fax: (847) 259-0808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.014985 Illinois

Profile Details

NPI number 1871757807
LBN Legal business name Skyles, Russel Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2008
Last updated Jul 18th, 2008 - about 16 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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