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NPI Code Detail

MEDICARE: LAURA L SKOOG

MEDICARE: LAURA L SKOOG
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
1225X00000XOccupational Therapist056014130IL

General Provider Information

NPI Number : 1376122408
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA L SKOOG
Provider Business Mailing Address
First Line : 101 E MILLER RD
Second Line :
City : STERLING
State : IL
Zip : 61081-1252
Country : US
Telephone Number : 815-625-4790
Fax Number :
Provider Business Practice Location Address
First Line : 1809 LOCUST ST
Second Line :
City : STERLING
State : IL
Zip : 61081-1101
Country : US
Telephone Number : 815-622-1210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2021
Last Update Date : 04/08/2026

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Directions to “ LAURA L SKOOG ” Practice Location

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