Individual
DR. DAVID HERBERT SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6497
Mailing address
2160 S 1ST AVE, ROOM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061327
IL
207RI0200X
Infectious Disease Physician
Primary
036137718
IL
Other
Enumeration date
04/19/2012
Last updated
05/04/2021
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