Individual
MRS. DIANE M SLOTEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1730 W FULLERTON AVE, CHICAGO, IL 60614-1900
(773) 327-3000
(773) 327-3015
Mailing address
1219 S PLYMOUTH CT, CHICAGO, IL 60605-2719
(773) 327-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46-009028
IL
Other
Enumeration date
03/30/2007
Last updated
10/04/2010
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