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Organization
ROBERT SLOTT MD PC
Active
Organization
ROBERT SLOTT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT I SLOTT MD (PRESIDENT)
(773) 871-4183
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD STE 215, CHICAGO, IL 60657-6160
(773) 871-4183
(773) 883-1202
Mailing address
2934 W SUMMERDALE AVE, CHICAGO, IL 60625-4006
(773) 871-4183
(773) 883-1202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043445
—
IL
01
—
21604182
BLUE SHIELD
IL
Enumeration date
07/30/2008
Last updated
07/30/2008
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