Dr Nicholas Patrick Slattery, MD | |
300 Randall Rd, Geneva, IL 60134-4200 | |
(630) 208-3000 | |
Not Available |
Full Name | Dr Nicholas Patrick Slattery |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 300 Randall Rd, Geneva, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003494709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2023-02832 (North Carolina) | Secondary |
207P00000X | Emergency Medicine | 036.167349 (Illinois) | Primary |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas Patrick Slattery, MD 2407 Leverenz Rd, Naperville, IL 60564-8523 Ph: (630) 217-5207 | Dr Nicholas Patrick Slattery, MD 300 Randall Rd, Geneva, IL 60134-4200 Ph: (630) 208-3000 |
Steven Coker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Emergency Dept, Geneva, IL 60134 Phone: 630-208-4009 Fax: 630-208-0942 | |
Dr. Meredith Lynne Hill-ciesielski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300r Randall Rd, Geneva, IL 60134 Phone: 630-208-4000 | |
Dr. Parkson Lin, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Emergency Department, Geneva, IL 60134 Phone: 630-208-4009 | |
Arnold Del Mundo, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Emergency Dept, Geneva, IL 60134 Phone: 630-208-4009 Fax: 630-208-0942 | |
Katherine Murray, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-208-4000 | |
Jeffrey Bohmer, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Emergency Dept, Geneva, IL 60134 Phone: 630-208-4009 Fax: 630-208-0942 |