Provider Demographics
NPI:1255161485
Name:SKRZYPCZAK, MICHALENE KRISTINE (APRN-C)
Entity type:Individual
Prefix:MRS
First Name:MICHALENE
Middle Name:KRISTINE
Last Name:SKRZYPCZAK
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 N KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-2401
Mailing Address - Country:US
Mailing Address - Phone:773-803-3192
Mailing Address - Fax:
Practice Address - Street 1:2437 N KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-2401
Practice Address - Country:US
Practice Address - Phone:773-803-3192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.030182363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology