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Individual
PETER SLAVIN
Active
Individual
PETER SLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632135
BCBS#
IL
01
—
038-009528
LICENSE #
IL
05
—
364482046-60714-01
—
IL
01
—
K16049
MEDICARE PIN#
IL
Enumeration date
07/27/2006
Last updated
04/21/2010
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