Healthcare Provider Details

I. General information

NPI: 1376929703
Provider Name (Legal Business Name): CLAUDIA M SKOWRON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 KIRKWALL CT
INVERNESS IL
60010-5264
US

IV. Provider business mailing address

1422 KIRKWALL CT
INVERNESS IL
60010-5264
US

V. Phone/Fax

Practice location:
  • Phone: 815-260-5235
  • Fax:
Mailing address:
  • Phone: 815-260-5235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180009801
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: