MEDICARE: ARTRINA SLABICH-POLLAK PSY.D.

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	103TC0700X	Clinical Psychologist	071010257	IL

General Provider Information

NPI Number	:	1144853383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTRINA SLABICH-POLLAK PSY.D.

Provider Business Mailing Address
First Line	:	4700 W 95TH ST STE 205
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2574
Country	:	US
Telephone Number	:	708-684-7938
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 W 95TH ST STE 205
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-2574
Country	:	US
Telephone Number	:	708-684-7938
Fax Number	:	708-499-3301

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

Provider Enumeration Date	:	02/17/2020
Last Update Date	:	02/18/2020

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