Jerry Skogmo is a Professional in Buffalo Grove, Illinois. Jerry Skogmo practices all healthcare services and medical treatments related to Professional. The NPI Number for Jerry Skogmo is 1083742738. The last update date is 2007-07-08.
Jerry Skogmo's current location address is 1501 W Dundee Rd, Buffalo Grove, Illinois. You can contact this provider via phone number 8476348883 and fax number 8478210065. The mailing address for Jerry Skogmo is 1501 W Dundee Rd, Buffalo Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Skogmo |
|---|---|
| Address | 1501 W Dundee Rd, Buffalo Grove, Illinois |
| Phone Number | 8476348883 |
| Fax Number | 8478210065 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1083742738 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 W Dundee Rd |
|---|---|
| City | Buffalo Grove |
| State | Illinois (IL) |
| Post Code | 600894006 |
| Phone Number | 8476348883 |
| Fax Number | 8478210065 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code issued to Jerry Skogmo by the Centers for Medicare & Medicaid Services?
The Jerry Skogmo has been assigned the NPI (National Provider Identifier) 1083742738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jerry Skogmo's facilities are situated?
The facilities of Jerry Skogmo are physically located at the following address: 1501 W Dundee Rd, Buffalo Grove, IL, 600894006.
What is Jerry Skogmo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Skogmo's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did the Jerry Skogmo receive the assignment of its 1083742738 from the Centers for Medicare & Medicaid Services?
The Jerry Skogmo was issued its 1083742738 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the information related to Jerry Skogmo most recently updated or refreshed?
The details pertaining to the Jerry Skogmo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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