| Kathryn Skolarz, M.d., S.c. | |
|
7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 | |
| (773) 594-1410 | |
| (773) 774-1402 |
| Full Name | Kathryn Skolarz, M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7447 W Talcott Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kathryn Skol (PHYSICIAN) |
| Authorized Official Contact | 3125056577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Skolarz, M.d., S.c. 7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 Ph: (773) 594-1410 | Kathryn Skolarz, M.d., S.c. 7447 W Talcott Ave Suite 366 Chicago IL 60631-3745 Ph: (773) 594-1410 |
| NPI Number | 1023465655 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 12/18/2020 |
| Medicare PECOS PAC ID | 8123318151 |
|---|---|
| Medicare Enrollment ID | O20160603001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023465655 | NPI | - | NPPES |
| 1114272945 | Other | IL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036136435 (Illinois) | Primary |
| Provider Name | Kathryn D Skolarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114272945 PECOS PAC ID: 8729300371 Enrollment ID: I20160603001410 |
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