Dr Kori Levos Skidmore, PHD is a
Psychologist - Clinical based in Galena, Illinois. Dr Kori Levos Skidmore is licensed to practice in Illinois (license number 71-5445) and her current practice location is
41 Stony Pt, Galena, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 371-1157.
NPI number for Dr Kori Levos Skidmore is 1811095730 and her current mailing address is 41 Stony Pt, Galena, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811095730.
Healthcare Provider's Profile
| Full Name | Dr Kori Levos Skidmore |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 41 Stony Pt, Galena, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811095730
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 06/05/2025
Medical Identifiers
Medical identifiers for Dr Kori Levos Skidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811095730 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071-005445 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 71-5445 (Illinois) | Primary |
| 103T00000X | Psychologist | 71-5445 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kori Levos Skidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kori Levos Skidmore, PHD
41 Stony Pt,
Galena, IL 61036-9349
Ph: (312) 371-1157 | Dr Kori Levos Skidmore, PHD
41 Stony Pt,
Galena, IL 61036-9349
Ph: (312) 371-1157 |
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