Provider Demographics
NPI:1598872335
Name:ROSATI SKERTICH, CELINE M (MS, PT, PCS, C/NDT)
Entity Type:Individual
Prefix:
First Name:CELINE
Middle Name:M
Last Name:ROSATI SKERTICH
Suffix:
Gender:F
Credentials:MS, PT, PCS, C/NDT
Other - Prefix:
Other - First Name:CELINE
Other - Middle Name:M
Other - Last Name:ROSATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-4000
Mailing Address - Fax:
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-003168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK21680Medicare ID - Type UnspecifiedPHYSICAL THERAPY