Healthcare Provider Details
I. General information
NPI: 1811636152
Provider Name (Legal Business Name): VERONICA MOLLY SKITAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/03/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1555 BARRINGTON RD 1ST FL
HOFFMAN ESTATES IL
60169
US
IV. Provider business mailing address
1555 BARRINGTON RD 1ST FL
HOFFMAN ESTATES IL
60169
US
V. Phone/Fax
- Phone: 224-299-4222
- Fax:
- Phone: 224-299-4222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A202132 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036175159 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: