Provider Demographics
NPI:1710707658
Name:SKRIPKAUSKAS, SILVIA (RN)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:SKRIPKAUSKAS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2627
Mailing Address - Country:US
Mailing Address - Phone:224-507-8677
Mailing Address - Fax:
Practice Address - Street 1:378 PARK AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2627
Practice Address - Country:US
Practice Address - Phone:224-507-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041425548163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice