DR. DAVID M SKILLRUD


Address: 652 W Jackson St, Morton, IL 61550-1536
Phone: 3092668880

DR. DAVID M SKILLRUD (NPI# 1568573764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568573764
Entity Type Individual
Full Name DR. DAVID M SKILLRUD
Credential MD
Practice Address 652 W Jackson St
Morton
IL 61550-1536
Practice Telephone 3092668880
Practice Fax Number 3092668889
Mailing Telephone 3092668880
Mailing Fax Number 3092668889
Enumeration Date 2006-08-31
Last Update Date 2020-02-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
036-070507 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL HEALTH ALLIANCE 005145 01
IL BLUE CROSS BLUE SHIELD 005732063 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2010 Jacobssen Dr, Normal, IL 617616280 3092668880 3092668889
650 Joel Dr, Fort Campbell, KY 422235318 2707988727

Office Location

Street Address 652 W JACKSON ST
City MORTON
State IL
Zip Code 61550-1536

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366514481 David M. Skillrud Md Ltd. Internal Medicine 652 W Jackson St, Morton, IL 61550-1536 2006-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497398648 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 853 W Jackson Plaza, Morton, IL 61550 2019-10-21
1760924732 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 2016-11-08
1770983181 Jennifer Vissering Nurse Practitioner 435 Maxine Drive Suite #4, Morton, IL 61550 2014-09-04
1316387236 Saint Johns Hospital Rehabilitation Hospital 141 E Maywood Street, Morton, IL 61550 2013-06-25
1801145610 Nancy J. Anderson Counselor 42 Jasper Drive, Morton, IL 61550 2012-09-07
1689894834 Kevin Littlefield Dentist 320 E Jackson, Morton, IL 61550 2007-04-30
1215081765 Krueger & Associates LLC Dentist 213 S Clifton Street, Morton, IL 61550 2007-01-22
1073686218 Darin Scott Hoffmire Social Worker 2401 South Fourth Street, Morton, IL 61550 2006-11-16
1629161856 William Edwards Pediatrics 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 2006-10-02
1396844932 G Gene Sidler Internal Medicine 619 Jackson St, Morton, IL 61550 2006-09-21
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366514481 David M. Skillrud Md Ltd. Internal Medicine 652 W Jackson St, Morton, IL 61550-1536 2006-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720636202 Pulmonary Associates Ltd Internal Medicine 71 W 156th St Ste 203, Harvey, IL 60426-4262 2019-08-28
1336516467 Hesham A. Hassaballa, Md, Ltd Internal Medicine 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 2015-08-24
1497141394 Pulmonary and Critical Care Solutions, LLC Internal Medicine 6116 N 2200 East Rd, Downs, IL 61736-9459 2015-04-08
1558771220 Christopher Charles Sutton Internal Medicine 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 2014-05-05
1861835985 Christie Ann Brillante Internal Medicine 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 2013-04-08
1992050850 Thomas Christopher Draghi Internal Medicine 155 Linden Ave, Oak Park, IL 60302-2610 2012-07-17
1144586041 Robert T Zeck Internal Medicine 13141 Lake Mary Dr, Plainfield, IL 60585-2650 2012-04-04
1508160359 Aziz Rahman Md Facp PC Internal Medicine 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 2011-01-07
1811211774 Vitalcare Medical Sc Internal Medicine 1146 S Waukegan Rd, Waukegan, IL 60085-6731 2010-03-22
1508095605 Farhan Zaidi Internal Medicine 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 2009-07-09
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Competitor

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City MORTON
Zip Code 61550

Improve Information

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Dataset Information

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.

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