David M Skillrud MD LTD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

DAVID M SKILLRUD MD LTD

Practice address

1300 Franklin Ave
Suite 340
Normal, IL 61761-3592

Phone

(309) 451-9500

Fax

(309) 266-8889

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Lori Best

Title

Office Manager

Phone

(309) 266-8880

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1952473001",
    "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": "1300 FRANKLIN AVE",
            "address_2": "SUITE 340",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613592",
            "telephone_number": "309-451-9500",
            "fax_number": "309-266-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M SKILLRUD MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0005732063",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "005145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Christine Dalal, D.O.
• Dana Dalbak, PA-C
• Colleen Megan Daniels, ATC
• Louis Danso
• Victoria Jill Das
• Brooke Davis, NP
• Jason Scott Davis, M.D.
• Laura Davis, RN
• Nancy Davis, CRNA
• Ryan T Davis, MS, ATC

• Pulmonary Disease Physician in Normal, IL
• Providers in Normal, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.