MEDICARE: MADISON SKERRITT

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	104100000X	Social Worker
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1851908594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON SKERRITT

Provider Business Mailing Address
First Line	:	1440 W TAYLOR ST STE 750
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4623
Country	:	US
Telephone Number	:	708-232-3684
Fax Number	:	217-568-4383

Provider Business Practice Location Address
First Line	:	1440 W TAYLOR ST STE 750
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4623
Country	:	US
Telephone Number	:	312-725-2074
Fax Number	:	217-568-4383

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

Provider Enumeration Date	:	09/27/2020
Last Update Date	:	06/09/2026

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Directions to “ MADISON SKERRITT ” Practice Location

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