MEDICARE: DR. ROBERT JAMES SKOPEK DDS, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	019-023828	IL

General Provider Information

NPI Number	:	1124197322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JAMES SKOPEK DDS, MS

Provider Business Mailing Address
First Line	:	444 N RAND RD
Second Line	:
City	:	NORTH BARRINGTON
State	:	IL
Zip	:	60010-1401
Country	:	US
Telephone Number	:	847-277-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 S. WYNSTONE PARK DRIVE SUITE 102
Second Line	:
City	:	NORTH BARRINGTON
State	:	IL
Zip	:	60010
Country	:	US
Telephone Number	:	847-277-1212
Fax Number	:	847-713-2472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/27/2023

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