SKYLINE PHYSICIANS LLC NPI 1568704443

NPI Information

NPI: 1568704443
Provider Name: SKYLINE PHYSICIANS LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2251001

Address:
1263 S HIGHLAND AVE STE 2C
LOMBARD, IL
ZIP 60148
Phone: (630) 423-3507
Get Directions

SKYLINE PHYSICIANS LLC is a family medicine in Lombard, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SKYLINE PHYSICIANS LLC NPI is 1568704443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1263 S HIGHLAND AVE STE 2C
LOMBARD, IL
ZIP 60148-527
Phone: (630) 423-3507

The provider's authorized official is Rafai Bukhari .
The authorized official title is Ceo and has the following contact phone number (708) 307-2103.

The CLIA number assigned to this NPI record is 14D2251001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QB0002X	Family Medicine	Obesity Medicine	036129282	ILLINOIS	No
2	207QG0300X	Family Medicine	Geriatric Medicine	036129282	ILLINOIS	No
3	207R00000X	Internal Medicine		036129282	ILLINOIS	No
4	207RI0001X	Internal Medicine	Clinical & Laboratory Immunology			No
5	208D00000X	General Practice		036129282	ILLINOIS	No
6	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician			No
7	261Q00000X	Clinic/Center		036129282	ILLINOIS	No
8	291U00000X	Clinical Medical Laboratory				No
9	207Q00000X	Family Medicine		036129282	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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