Andrea Beth Skillman, BSN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041234197 Issued in IL

Practice address

3001 N. Greenbay Rd.
North Chicago, IL 60064

Phone

(224) 610-4724

NPI assigned

May 5, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1487343398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 OAK LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311939",
            "telephone_number": "847-849-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N. GREENBAY RD.",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "224-610-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLMAN",
        "first_name": "ANDREA",
        "middle_name": "BETH",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041234197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gagandeep Singh, MD
• Gurjot Singh
• Jasleen Singh
• Sant P Singh, M.D.
• Timothy C Skalitzky, NP-C
• Kimberly A. Skorupa, RKT
• Melissa Kathleen Skratsky, DPM
• Michael Smirnov, M.D
• Susan Ashley Smith, LCSW
• Elizabeth Snider

• General Practice Registered Nurse in North Chicago, IL
• Providers in North Chicago, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.