Individual
MICHELE I SLOGOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1665 SOUTH ST, GENEVA, IL 60134-2542
(630) 208-7874
(630) 208-7880
Mailing address
1665 SOUTH ST, GENEVA, IL 60134-2542
(630) 208-7874
(630) 208-7880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036111435
IL
208C00000X
Colon & Rectal Surgery Physician
036111435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111435
—
IL
Enumeration date
11/07/2006
Last updated
07/30/2014
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