# DYLAN SLOTAR MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902462880
- **Authorized official:** DYLAN SLOTAR MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (219) 301-7265

## Contact information

- **Practice address:** 9124 COLUMBIA AVE \# B, MUNSTER, IN 46321-2907
- **Practice address phone:** (844) 450-3100
- **Mailing address:** PO BOX 697, TINLEY PARK, IL 60477-0697
- **Mailing address phone:** (219) 301-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 05/15/2019