Individual
CHARLES M VAN SLAMBROUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
(708) 213-0163
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 213-3457
(708) 213-0163
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
036132369
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036132369
IL
Other
Enumeration date
07/03/2010
Last updated
12/09/2021
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