Organization
RAMONA I SLUPIK MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA I SLUPIK MD (OWNER)
(312) 202-0551
Entity
Organization
Contact information
Practice address
1 E ERIE ST, SUITE 530, CHICAGO, IL 60611-2740
(312) 202-0551
(312) 397-9601
Mailing address
1 E ERIE ST, SUITE 530, CHICAGO, IL 60611-2740
(312) 202-0551
(312) 397-9601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036062636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625685
BC/BS PROVIDER #
IL
Enumeration date
08/01/2006
Last updated
08/23/2016
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