Provider Demographics
NPI:1164461679
Name:SKONY, CARRIE L (DC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:L
Last Name:SKONY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 S CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2505
Mailing Address - Country:US
Mailing Address - Phone:630-290-5169
Mailing Address - Fax:
Practice Address - Street 1:24 W 500 MAPLE AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-428-4300
Practice Address - Fax:630-428-4305
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010591111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor