Organization
MARIA SLOBODIAN MD SC
Active
Organization
MARIA SLOBODIAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA AP SLOBODIAN MD (PRESIDENT)
(708) 848-5410
Entity
Organization
Contact information
Practice address
1 ERIE CT, SUITE#7040, OAK PARK, IL 60302-2566
(708) 848-5410
(708) 848-6539
Mailing address
1 ERIE CT, SUITE#7040, OAK PARK, IL 60302-2566
(708) 848-5410
(708) 848-6539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634435
BCBS PROVIDER ID
IL
01
—
DB9675
RAILROAD MEDICARE
IL
Enumeration date
02/21/2007
Last updated
01/28/2008
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