Individual
JAMIE SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5471
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5471
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.138057
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125060915
IL
Other
Enumeration date
05/28/2012
Last updated
03/02/2016
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