MEDICARE: THOMAS SLONKA LCSW, CADC

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	1041C0700X	Clinical Social Worker	149.002799	IL
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	16634	IL

General Provider Information

NPI Number	:	1386765642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS SLONKA LCSW, CADC

Provider Business Mailing Address
First Line	:	8 SALT CREEK LN STE 202
Second Line	:
City	:	HINSDALE
State	:	IL
Zip	:	60521-2903
Country	:	US
Telephone Number	:	331-221-2505
Fax Number	:	331-221-2719

Provider Business Practice Location Address
First Line	:	8 SALT CREEK LN STE 202
Second Line	:
City	:	HINSDALE
State	:	IL
Zip	:	60521-2903
Country	:	US
Telephone Number	:	331-221-2505
Fax Number	:	331-221-2719

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	04/15/2021

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