| Timothy C Skalitzky, NP-C | |
|
1 N Waukegan Rd, North Chicago, IL 60064-1802 | |
| (847) 936-5800 | |
| Not Available |
| Full Name | Timothy C Skalitzky |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1 N Waukegan Rd, North Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063054013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.024424 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 9435 (Wisconsin) | Secondary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Pic Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124678354 PECOS PAC ID: 4082046362 Enrollment ID: O20191108000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy C Skalitzky, NP-C 1 N Waukegan Rd, North Chicago, IL 60064-1802 Ph: (847) 936-5800 | Timothy C Skalitzky, NP-C 1 N Waukegan Rd, North Chicago, IL 60064-1802 Ph: (847) 936-5800 |
Mercedes Rebeca Jasso, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3471 Green Bay Rd, North Chicago, IL 60064 Phone: 847-578-8670 | |
Mrs. Sandra C. Chapman, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Premise Health 360 Healthcare, 1 Waukegan Road, North Chicago, IL 60064 Phone: 262-878-7030 Fax: 262-878-7024 | |
Wilma Jean Woollard, APN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, Dept 111, North Chicago, IL 60064 Phone: 847-688-1900 Fax: 224-610-2942 | |
Deborah Ann Safron, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 224-610-1913 | |
Elise Teichman, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bat Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Bridgett Yvette Epps, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3002 18th St, North Chicago, IL 60064 Phone: 847-688-0193 |