Tatiana Nicole Skylar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032573 Issued in IL

Practice address

125 W Townline Rd
Vernon Hills, IL 60061-1424

Phone

(847) 367-4890

NPI assigned

May 23, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1013530153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MALLARD LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153630",
            "telephone_number": "847-668-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W TOWNLINE RD",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611424",
            "telephone_number": "847-367-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYLAR",
        "first_name": "TATIANA",
        "middle_name": "NICOLE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allison Kelly Skae, MHS, PA-C
• Lauren Skalecki
• Sleep and Behavior Medicine Institute
• Marc S Sloan, MD
• Amy Slutzky, LCPC
• Smart Choice MRI, LLC
• Smart Town Inc

• General Practice Dentistry in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.