Slotten, Ross A.
Slotten, Ross A. is an individual health care provider with primary practice located at 711 W North Ave Ste 209, Chicago IL 60610-1174. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Slotten, Ross A. can be contacted via phone (312) 280-0996.Contact Information
Primary practice address
711 W North Ave Ste 209
Chicago IL 60610-1174
Phone: (312) 280-0996
Fax: (312) 280-8789
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036064610 | Illinois |
Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 036064610 | Illinois |
Profile Details
NPI number | 1619089174 |
---|---|
LBN Legal business name | Slotten, Ross A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Mar 26th, 2021 - about 3 years ago |
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 | 1619089174 | NPPES |
Illinois | MEDICAID | 036064610 |
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