MEDICARE: DR. STEPHEN J SLOMSKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1174547384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN J SLOMSKI DDS

Provider Business Mailing Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 160
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-916-8985
Fax Number	:	630-916-8980

Provider Business Practice Location Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 160
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-916-8985
Fax Number	:	630-916-8980

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	10/23/2007

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