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Individual

BARRY SLOTKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 N REGENCY DR, SUITE 3, BLOOMINGTON, IL 61701-3515
(309) 663-6338
(309) 661-5644
Mailing address
107 N REGENCY DR, SUITE 3, BLOOMINGTON, IL 61701-3515
(309) 663-6338
(309) 661-5644

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036047218
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036047218
IL
01
833120
MEDICARE GROUP #
Enumeration date
09/16/2005
Last updated
11/16/2009
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