Healthcare Provider Details

I. General information

NPI: 1336068535
Provider Name (Legal Business Name): SKATTA MD S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 N HUNT CLUB RD STE 102
GURNEE IL
60031-2603
US

IV. Provider business mailing address

9 NEWCASTLE CT
MUNDELEIN IL
60060-3231
US

V. Phone/Fax

Practice location:
  • Phone: 847-855-0300
  • Fax:
Mailing address:
  • Phone: 847-778-6814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SOLOMON KATTA
Title or Position: OWNER
Credential: MD
Phone: 847-778-6814