MEDICARE: WIOLETA MALGORZATA SKOWYRA RT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227900000X	Registered Respiratory Therapist		IL

General Provider Information

NPI Number	:	1114067873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WIOLETA MALGORZATA SKOWYRA RT

Provider Business Mailing Address
First Line	:	7355 W LELAND AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4701
Country	:	US
Telephone Number	:	170-886-7601
Fax Number	:

Provider Business Practice Location Address
First Line	:	7355 W LELAND AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4701
Country	:	US
Telephone Number	:	170-886-7601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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