Healthcare Provider Details

I. General information

NPI: 1649186081
Provider Name (Legal Business Name): SKILLMAN HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HARNISH DR STE 101
ALGONQUIN IL
60102-6846
US

IV. Provider business mailing address

244 S RANDALL ROAD PMB #1197
ELGIN IL
60123
US

V. Phone/Fax

Practice location:
  • Phone: 847-340-4493
  • Fax:
Mailing address:
  • Phone: 847-340-4493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LARISA ANNA SKILLMAN
Title or Position: MANAGING MEMBER
Credential: APRN, FNP-C
Phone: 847-340-4493