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NPI Code Detail

MEDICARE: ANDREA N SLASURAITIS MD

MEDICARE:   ANDREA N SLASURAITIS  MD
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
1207R00000XInternal Medicine Physician036-109447IL

General Provider Information

NPI Number : 1942236393
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA N SLASURAITIS MD
Provider Business Mailing Address
First Line : 600 E SIBLEY BLVD
Second Line :
City : DOLTON
State : IL
Zip : 60419-2599
Country : US
Telephone Number : 708-340-7400
Fax Number : 708-340-7140
Provider Business Practice Location Address
First Line : 600 E SIBLEY BLVD
Second Line :
City : DOLTON
State : IL
Zip : 60419-2599
Country : US
Telephone Number : 708-340-7400
Fax Number : 708-340-7140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 10/19/2022

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Directions to “ ANDREA N SLASURAITIS MD” Practice Location

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