Kiernicki-Sklar, Anna

Kiernicki-Sklar, Anna is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kiernicki-Sklar, Anna can be contacted via phone (708) 684-4077.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-4077
Fax: (708) 684-1028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01060706 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-110712 Illinois

Profile Details

NPI number 1467447920
LBN Legal business name Kiernicki-Sklar, Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Dec 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467447920 NPPES
Illinois MEDICAID 036110712
Illinois MEDICAID 200521670

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