| Lyle Skinner Ltd. | |
|
227 S 2nd St Geneva IL 60134-2713 | |
| (630) 232-2458 | |
| Not Available |
| Full Name | Lyle Skinner Ltd. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 227 S 2nd St, Geneva, Illinois |
| Authorized Official Name and Position | Lyle Skinner (OWNER) |
| Authorized Official Contact | 6302322458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle Skinner Ltd. 227 S 2nd St Geneva IL 60134-2713 Ph: (630) 232-2458 | Lyle Skinner Ltd. 227 S 2nd St Geneva IL 60134-2713 Ph: (630) 232-2458 |
| NPI Number | 1124263439 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124263439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-007295 (Illinois) | Primary |
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