MEDICARE: DR. SLOAN V METZ DPM

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	213ES0131X	Foot Surgery Podiatrist	016-004617	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851385553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SLOAN V METZ DPM

Provider Business Mailing Address
First Line	:	830 W DIVERSEY PKWY
Second Line	:	STE 200
City	:	CHICAGO
State	:	IL
Zip	:	60614-1454
Country	:	US
Telephone Number	:	773-542-5203
Fax Number	:	773-542-5841

Provider Business Practice Location Address
First Line	:	3700 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-3824
Country	:	US
Telephone Number	:	773-542-5203
Fax Number	:	773-542-5841

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	11/29/2016

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Directions to “ DR. SLOAN V METZ DPM” Practice Location

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