DR. PHILLIP A SKOCZELAS (NPI# 1548212020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548212020 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP A SKOCZELAS |
| Credential | MD |
| Practice Address |
5025 N Paulina St Chicago IL 60640-2772 |
| Practice Telephone | 7739891357 |
| Practice Fax Number | 7739895406 |
| Mailing Telephone | 7739891357 |
| Mailing Fax Number | 7739895406 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036057792 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036057792-3 | 05 |
| Street Address |
5025 N PAULINA ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729554 | Roman F Niziolek | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2005-12-01 |
| 1376071993 | Hana L Keil | Social Worker | 5025 N Paulina St, Chicago, IL 60640-2772 | 2017-05-26 |
| 1013306240 | Jessica Wunder | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640 | 2015-01-12 |
| 1205264116 | Lindsay Brooke Abbott | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640-2772 | 2013-10-31 |
| 1386993582 | Reet Wangerin | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2012-09-04 |
| 1558698589 | Bethany Homes and Methodist Hospital | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2009-11-12 |
| 1831365121 | Floarea Chis | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2008-05-06 |
| 1497942783 | Ailyn Tan Md Sc | Clinical Medical Laboratory | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-10-01 |
| 1174644389 | Lakeside Radiologists, Sc | Radiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-04-03 |
| 1790805778 | Zarina Z. Bandukwala | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
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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.