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Individual

DR. JOEL N SLUTSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
375 N WALL ST, STE P530, KANKAKEE, IL 60901-3483
(815) 937-4006
(815) 937-3850
Mailing address
375 N WALL ST, STE P530, KANKAKEE, IL 60901-3483
(815) 937-4006
(815) 937-3850

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4600208
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/02/2005
Last updated
01/27/2008
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