Healthcare Provider Details

I. General information

NPI: 1518881531
Provider Name (Legal Business Name): GILDA SLUSAREK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5940 W TOUHY AVE STE 370
NILES IL
60714-4619
US

IV. Provider business mailing address

5940 W TOUHY AVE STE 370
NILES IL
60714-4619
US

V. Phone/Fax

Practice location:
  • Phone: 224-443-3531
  • Fax:
Mailing address:
  • Phone: 224-443-3531
  • Fax: 224-583-0549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number3002987
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: