Individual
TREVOR J SLOM
Active
Individual
TREVOR J SLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036-095393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636111
BLUE CROSS BLUE SHIELD OF IL
IL
05
—
036095393
—
IL
05
—
205454606
—
MO
01
—
615318700
US DEPT OF LABOR - 2222 DIVISION, CHICAGO LOCATION
IL
01
—
615318701
US DEPT OF LABOR-2001 CALIFORNIA, CHICAGO LOCATION
IL
Enumeration date
03/01/2006
Last updated
11/15/2018
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