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General NPI Number Information
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NPI Number | 1043476039
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Entity Type | Organization
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Legal Business Name | ROBERT SLOTT MD PC
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 2800 N SHERIDAN RD STE 215
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City | CHICAGO
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State | IL
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Zip | 60657-6160
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Country | US
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Telephone | 773-871-4183
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Fax | 773-883-1202
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Provider Business Mailing Address
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Address Line | 2934 W SUMMERDALE AVE
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City | CHICAGO
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State | IL
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Zip | 60625-4006
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Country | US
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Telephone | 773-871-4183
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Fax | 773-883-1202
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT I SLOTT
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Credential | MD
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Telephone | 773-871-4183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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