Active NPI
David M. Skillrud MD LTD.
- Pulmonary Disease Physician
- Morton, IL
National Provider Identifier
1366514481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- DAVID M. SKILLRUD MD LTD.
- Practice address
- 652 W Jackson St
Morton, IL 61550-1536 - Phone
- (309) 266-8880
- Fax
- (309) 266-8889
- NPI assigned
- Nov 14, 2006
- Last updated
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori Best
- Title
- Office Manager
- Phone
- (309) 266-8880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
652 W Jackson St
Morton, IL 61550-1536
Mailing address
652 W Jackson St
Morton, IL 61550-1536
Phone (309) 266-8880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005145 | Other | IL | HEALTH ALLIANCE |
| 0005732063 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
652 W Jackson St
Morton, IL 61550
Phone (309) 266-8880
1300 Franklin Ave
Ste 340
Normal, IL 61761
Phone (309) 451-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1366514481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501536",
"telephone_number": "309-266-8880",
"fax_number": "309-266-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 W JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501536",
"telephone_number": "309-266-8880",
"fax_number": "309-266-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID M. SKILLRUD MD LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "BEST",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "309-266-8880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "005145",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0005732063",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.