ERICK WOODROW SKAFF


Address: 5425 W Lake St, Chicago, IL 60644
Phone: 7733783347

ERICK WOODROW SKAFF (NPI# 1568920171) 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) 1568920171
Entity Type Individual
Full Name ERICK WOODROW SKAFF
Practice Address 5425 W Lake St
Chicago
IL 60644
Mailing Address 5425 W Lake St
Chicago
IL 60644-2342
Practice Telephone 7733783347
Practice Fax Number 7733784028
Mailing Telephone 7733783347
Mailing Fax Number 7733784028
Enumeration Date 2019-03-04
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
600 S Paulina St Ste 403, Chicago, IL 606123806 3129427100

Office Location

Street Address 5425 W LAKE ST
City CHICAGO
State IL
Zip Code 60644

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871575233 Lisa Kozinski Family Medicine 5425 W Lake St, Chicago, IL 60644-2342 2005-11-18
1588288773 Bridget Mary Doyle Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2020-06-03
1023677051 Alvie Bender Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-06-12
1699333476 Reema Yogesh Patel Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2019-06-05
1013574136 Michelle Behrens Social Worker 5425 W Lake St, Chicago, IL 60644-2342 2019-05-23
1578120770 Joanna Trask Counselor 5425 W Lake St, Chicago, IL 60644-2342 2019-05-22
1356805386 Kathleen Escalona Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2019-01-23
1942791702 Matthew Joseph Rudolph Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2018-05-28
1306337233 Sarah Neugarten Nurse Practitioner 5425 W Lake St, Chicago, IL 60644-2342 2018-05-26
1245721174 Nathan Lee Lin Student in an Organized Health Care Education/Training Program 5425 W Lake St, Chicago, IL 60644-2342 2018-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710535638 Marta Yvonne Palmer Technician 5008 W Adams, Chicago, IL 60644 2019-09-04
1861056848 B U I L D Incorporated Social Worker 5100 W Harrison St., Chicago, IL 60644 2019-04-25
1851806269 Habilitative Systems, Inc. Case Management 4732 W Ohio St, Chicago, IL 60644 2017-12-07
1336408665 Meghan Nancy Daw Dietitian, Registered 646 S Central Ave, Chicago, IL 60644 2012-05-07
1164790515 Elizabeth Eleanor Reid-tate Pharmacist 5222 W. Madison Avenue, Chicago, IL 60644 2011-12-13
1134458466 Power Teen Program Psychologist 300 N Central Ave, Chicago, IL 60644 2009-12-16
1417198342 Betty Jean Lofton Counselor 5938 W. Midway Park, Chicago, IL 60644 2009-03-24
1881856094 Sanjay M. Patel M.d. S.c. Psychiatry & Neurology 5730 W. Roosevelt Road, Chicago, IL 60644 2008-06-29
1639348691 Ysl Care, Inc Community Based Residential Treatment Facility, Mental Illness 5107-21 West Jackson Blvd, Chicago, IL 60644 2008-02-25
1073795845 Maryanne Rakidzioski Occupational Therapist 5103 W Jackson Blvd, Chicago, IL 60644 2007-12-03
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205443975 Nickolas Armstrong Student in an Organized Health Care Education/Training Program 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 2020-09-28
1134735962 Kalvin Cheuk Hang Lung Student in an Organized Health Care Education/Training Program 675 N St Clair St 17th Floor, Chicago, IL 60611 2020-09-17
1487267845 Ashley Marie Sablich Student in an Organized Health Care Education/Training Program 250 E Huron Street, Suite 1-200, Chicago, IL 60611 2020-08-26
1275146599 Ryan Mather Student in an Organized Health Care Education/Training Program 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 2020-08-26
1831701010 Alexandra Klonis Student in an Organized Health Care Education/Training Program 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 2020-08-19
1851903389 Brittney Christine Evans Student in an Organized Health Care Education/Training Program 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 2020-08-17
1205446358 Kai Lai Chu Student in an Organized Health Care Education/Training Program 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 2020-08-04
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1407474463 Madison Nicole Schulenberg Student in an Organized Health Care Education/Training Program 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 2020-07-07
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60644

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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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