MEDICARE: RUSSEL LEE SKYLES D.D.S.

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	1223G0001X	General Practice Dentistry	019.014985	IL

General Provider Information

NPI Number	:	1871757807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSSEL LEE SKYLES D.D.S.

Provider Business Mailing Address
First Line	:	200 E EVERGREEN AVE
Second Line	:	SUITE 129
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-3240
Country	:	US
Telephone Number	:	847-259-7560
Fax Number	:	847-259-0808

Provider Business Practice Location Address
First Line	:	200 E EVERGREEN AVE
Second Line	:	SUITE 129
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-3240
Country	:	US
Telephone Number	:	847-259-7560
Fax Number	:	847-259-0808

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

Provider Enumeration Date	:	07/18/2008
Last Update Date	:	07/18/2008

Similar Medicare Providers

1467316976 — MADELINE C BORATTO LSW
Practice Location Address:

200 E EVERGREEN AVE STE 106
MOUNT PROSPECT, IL
60056-3240

Practice Phone: 847-749-3807
Practice Fax: 224-478-0807

1447285960 — MS. CAROL ANN ZIOLO RN, LCPC
Practice Location Address:

200 E EVERGREEN AVE , SUITE 102
MT PROSPECT, IL
60056-3240

Practice Phone: 847-651-8553
Practice Fax:

1568694578 — THRIVE THERAPEUTIC SERVICES, LLC
Practice Location Address:

200 E EVERGREEN AVE STE 106
MOUNT PROSPECT, IL
60056-3240

Practice Phone: 847-749-3807
Practice Fax:

1154553105 — PETER LUND D.D.S.
Practice Location Address:

200 E EVERGREEN AVE
MT PROSPECT, IL
60056-3240

Practice Phone: 847-253-8350
Practice Fax:

1891132130 — DR. PAMELA RUFFER, P.C.
Practice Location Address:

200 E EVERGREEN AVE
MT PROSPECT, IL
60056-3240

Practice Phone: 630-539-0217
Practice Fax:

1306246566 — PBR FAMILY CONSULTING, INC.
Practice Location Address:

200 E EVERGREEN AVE STE 112
MOUNT PROSPECT, IL
60056-3240

Practice Phone: 847-255-4055
Practice Fax: 847-577-5066

Directions to “ RUSSEL LEE SKYLES D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.