Individual
MR. ROBERT L SLATER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 FOOTBALL DR, LAKE FOREST, IL 60045-4829
(847) 739-5401
Mailing address
1119 S PLEASANT HILL GATE, WAUKEGAN, IL 60085-8613
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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