| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEFAN MICHAEL SKONECZKA | 1053892752 | 2023-02-12 |
Stefan Michael Skoneczka [M] graduated in 2018 and primarily specializes in Physical Therapy.
Stefan Michael Skoneczka is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053892752. Registration indicates Stefan Michael Skoneczka is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 9830421726 |
| Entity Type | Individual |
| Provider Name | Mr. Stefan Michael Skoneczka PT, DPT |
| Practice Office Address | 650 W LAKE COOK RD BUFFALO GROVE, IL US |
| Practice Office Telephone | 6303681776 |
| Mailing Address | 885 MARCH ST LAKE ZURICH, IL 600471448 US |
| Business Telephone | 2247666329 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1210 Canyon Hills Rd | Thermopolis, WY 824433137 | 3078645591 |
| 695 Park Ave | Lake Villa, IL 600466531 | 6303681776 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | P18312
NC |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 070024236
IL |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT-1846
WY |