Provider Demographics
NPI:1770673543
Name:SKRATSKY, MELISSA KATHLEEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KATHLEEN
Last Name:SKRATSKY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:331 NORTHLAKE RD
Mailing Address - Street 2:
Mailing Address - City:LAKEMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60051-8726
Mailing Address - Country:US
Mailing Address - Phone:312-285-8227
Mailing Address - Fax:
Practice Address - Street 1:3471 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-3090
Practice Address - Country:US
Practice Address - Phone:847-578-8433
Practice Address - Fax:847-775-6587
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL16005243213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist