Jarema John Skirnyk, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036-066509 Issued in IL

Practice address

2800 West 95TH Street
Little Company of Mary Hospital
Evergreen Park, IL 60805

Phone

(708) 229-5300

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1104931351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIDGE FARM RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275180",
            "telephone_number": "630-325-0764",
            "fax_number": "630-325-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WEST 95TH STREET",
            "address_2": "LITTLE COMPANY OF MARY HOSPITAL",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "60805",
            "telephone_number": "708-229-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIRNYK",
        "first_name": "JAREMA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036066509",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036066509",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036-066509",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-066509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066509",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Luis Siller, MOTR/L
• Simply Wounds and Lymphatics, PLLC
• Gurpreet Singh, APRN
• Heather Singler, PT, DPT
• Donna T Skinner, FNP
• Leo Skrypkun
• Robert Bruce Skudnig Sr., OTR/L
• Kamil Jan Sledz, NP
• Adam Robert Smith, LPC
• Victoria Smoter, PSY.D.

• Anesthesiology Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.