Yuriy Slota, | |
836 W Wellington Ave, Aimmc, Chicago, IL 60657-5147 | |
(773) 296-5311 | |
Not Available |
Full Name | Yuriy Slota |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 836 W Wellington Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689994766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA09762800 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hudson Regional Hospital | Secaucus, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Canj Anesthesia Llc | 6709278740 | 24 |
Entity Name | Aztec Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598392003 PECOS PAC ID: 2961820527 Enrollment ID: O20200914001418 |
Entity Name | Centurion Anesthesia Surgical Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326707100 PECOS PAC ID: 9537551254 Enrollment ID: O20220110000263 |
Entity Name | Canj Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881353662 PECOS PAC ID: 6709278740 Enrollment ID: O20220124002960 |
Mailing Address | Practice Location Address |
---|---|
Yuriy Slota, 1925 Ocean Ave Apt 5b, Brooklyn, NY 11230-6843 Ph: (718) 676-0388 | Yuriy Slota, 836 W Wellington Ave, Aimmc, Chicago, IL 60657-5147 Ph: (773) 296-5311 |
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