Individual
ERIC RICHARD SLOTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
911 HAYRACK DR, ALGONQUIN, IL 60102-6376
(847) 458-4918
(847) 458-2042
Mailing address
911 HAYRACK DR, ALGONQUIN, IL 60102-6376
(847) 458-4918
(847) 458-2042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632026
BLUECROSSBLUESHIELD #
IL
01
—
12027348
ASHA MEMBER #
IL
01
—
1654575
TEACHER CERTIFICATE #
IL
01
—
ES68741200P
EARLY INTERVENTION #
IL
Enumeration date
07/15/2005
Last updated
07/08/2007
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