Slobodkin, David
Slobodkin, David is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Slobodkin, David can be contacted via phone (708) 450-4975.Contact Information
Primary practice address
701 W North Ave
Melrose Park IL 60160-1612
Phone: (708) 450-4975
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD27352 | Maine |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036084820 | Illinois |
Profile Details
NPI number | 1194795591 |
---|---|
LBN Legal business name | Slobodkin, David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Sep 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194795591 | NPPES |
Illinois | MEDICAID | 036084820 |
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