Marc H Slutsky, Md Sc | |
3535 Patten Rd Apt 8a Highland Park IL 60035-5960 | |
(312) 861-0001 | |
(847) 433-0974 |
Full Name | Marc H Slutsky, Md Sc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 3535 Patten Rd Apt 8a, Highland Park, Illinois |
Authorized Official Name and Position | Marc H Slutsky (PRESIDENT) |
Authorized Official Contact | 3128610001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marc H Slutsky, Md Sc 3535 Patten Rd Apt 8a Highland Park IL 60035-5960 Ph: (128) 610-0001 | Marc H Slutsky, Md Sc 3535 Patten Rd Apt 8a Highland Park IL 60035-5960 Ph: (312) 861-0001 |
NPI Number | 1285714162 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 04/21/2022 |
Certification Date | 04/21/2022 |
Medicare PECOS PAC ID | 2163428954 |
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Medicare Enrollment ID | O20061019000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285714162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 042002141 (Illinois) | Primary |
Provider Name | Marc Hugh Slutsky |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912003518 PECOS PAC ID: 2163428962 Enrollment ID: I20061019000140 |
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