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General NPI Number Information
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NPI Number | 1649186081
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Entity Type | Organization
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Legal Business Name | SKILLMAN HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 2401 HARNISH DR STE 101
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City | ALGONQUIN
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State | IL
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Zip | 60102-6846
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Country | US
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Telephone | 847-340-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 244 S RANDALL ROAD PMB #1197
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City | ELGIN
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State | IL
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Zip | 60123
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Country | US
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Telephone | 847-340-4493
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LARISA ANNA SKILLMAN
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Credential | APRN, FNP-C
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Telephone | 847-340-4493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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