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NPI Code Detail

MEDICARE: DR. MARK ALLEN SLOAN D.C.

MEDICARE: DR. MARK ALLEN SLOAN D.C.
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
1111N00000XChiropractor2682NC
2111N00000XChiropractor038008006IL

Other Identifiers

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

General Provider Information

NPI Number : 1033168307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ALLEN SLOAN D.C.
Provider Business Mailing Address
First Line : 1820 WINDSOR RD
Second Line :
City : LOVES PARK
State : IL
Zip : 61111-4271
Country : US
Telephone Number : 779-423-1700
Fax Number : 708-895-1057
Provider Business Practice Location Address
First Line : 1820 WINDSOR RD
Second Line :
City : LOVES PARK
State : IL
Zip : 61111-4271
Country : US
Telephone Number : 779-423-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 08/25/2022

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Directions to “ DR. MARK ALLEN SLOAN D.C.” Practice Location

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