Provider Demographics
NPI:1053581678
Name:SKAFF, EVA
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:
Last Name:SKAFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8623 CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2125
Mailing Address - Country:US
Mailing Address - Phone:847-673-9000
Mailing Address - Fax:847-673-9080
Practice Address - Street 1:8623 CRAWFORD AVE
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2125
Practice Address - Country:US
Practice Address - Phone:847-673-9000
Practice Address - Fax:847-673-9080
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies