Provider Demographics
NPI:1346423928
Name:DR. BRIANA SKARBEK CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:DR. BRIANA SKARBEK CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:SHERYL
Authorized Official - Last Name:SKARBEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-778-2204
Mailing Address - Street 1:1520 ARTAIUS PKWY UNIT 382
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-7919
Mailing Address - Country:US
Mailing Address - Phone:847-778-2204
Mailing Address - Fax:847-367-1588
Practice Address - Street 1:1900 HOLLISTER DR STE 160
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5227
Practice Address - Country:US
Practice Address - Phone:847-778-2204
Practice Address - Fax:847-367-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL207388Medicare PIN