JEFFREY MICHAEL SKALICKY (NPI# 1487263349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487263349 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL SKALICKY |
| Credential | CRNA |
| Practice Address |
800 Biesterfield Rd Elk Grove Village IL 60007-3361 |
| Mailing Address |
4001 Kingston Pike Knoxville TN 37919-5220 |
| Practice Telephone | 8474375500 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
041.497120 | IL | Nursing Service Providers |
| Street Address |
800 BIESTERFIELD RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697472 | Katarzyna Anna Olejniczak | Family Medicine | 800 Biesterfield Rd, Wimmer Bldg. #104, Elk Grove Village, IL 60007-3361 | 2005-05-27 |
| 1891308060 | Kelly Jane Lydon | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-08-27 |
| 1528681822 | Cepamerica Illinois LLP | Emergency Medicine | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-20 |
| 1083235535 | Natalia Janik | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1417578980 | Rachel Nicole Heise | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-05-06 |
| 1093349045 | Rachel Wiles | Obstetrics & Gynecology | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-02-28 |
| 1528608577 | Nicole Ann Tymann | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2020-01-07 |
| 1649731910 | James Pedraza Jr. | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-03-28 |
| 1841757747 | Edyta Teresa Dudek | Nurse Practitioner | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2019-02-27 |
| 1437633781 | Ashley Herman | Registered Nurse | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2018-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518110725 | Eleanor M. Russell | Registered Nurse | 1229 Diane Ln, Elk Grove Village, IL 60007-3056 | 2008-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308748 | Robert Wilkins | Registered Nurse | 481 Pleasant Hill Rd, Frankfort, IL 60423-1265 | 2020-08-28 |
| 1649894791 | Jamie Yvonne Welty | Registered Nurse | 12198 Route 108, Carlinville, IL 62626-2272 | 2020-06-04 |
| 1912526278 | Shari Lynn Cardwell | Registered Nurse | 1125 Dovercliff Way, Crystal Lake, IL 60014-1803 | 2020-04-15 |
| 1962030635 | Morgan Lynn Schaefer | Registered Nurse | 2100 Rohlwing Rd, Rolling Meadows, IL 60008-1342 | 2020-03-30 |
| 1750919403 | Luiza Rikhman | Registered Nurse | 3704 Provenance Way, Northbrook, IL 60062-5062 | 2020-03-30 |
| 1356973440 | Deborah Jean Shearer | Registered Nurse | 281 Maple Ave, Galesburg, IL 61401-3556 | 2020-02-07 |
| 1023657491 | Katrina Turman | Registered Nurse | 3 Lakewood Ct, Bolingbrook, IL 60440-4500 | 2020-01-02 |
| 1386293678 | Erica Grant | Registered Nurse | 10633 S Oakley Ave, Chicago, IL 60643-3131 | 2019-09-09 |
| 1134773955 | Dallas Mcintyre | Registered Nurse | 631 5th Avenue Pl, Andalusia, IL 61232-9407 | 2019-07-30 |
| 1124672274 | Lanita Handy | Registered Nurse | 17123 Central Park Ave, Hazel Crest, IL 60429-1005 | 2019-07-26 |
| Find all providers with the same taxonomy | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.