Provider Demographics
NPI:1710093745
Name:SKARBEK, BRIANA (DC)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:SKARBEK
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 1:1520 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
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4907783OtherBCBS
IL2674004OtherAETNA
IL207388Medicare ID - Type UnspecifiedK01791