| David M Sloven, Mdsc | |
|
4738 N Kenmore Ave Chicago IL 60640-5016 | |
| (773) 878-6868 | |
| Not Available |
| Full Name | David M Sloven, Mdsc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4738 N Kenmore Ave, Chicago, Illinois |
| Authorized Official Name and Position | David M Sloven (PRESIDENT) |
| Authorized Official Contact | 7738786868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Sloven, Mdsc 4738 N Kenmore Ave Chicago IL 60640-5016 Ph: (773) 878-6868 | David M Sloven, Mdsc 4738 N Kenmore Ave Chicago IL 60640-5016 Ph: (773) 878-6868 |
| NPI Number | 1568598688 |
|---|---|
| Provider Enumeration Date | 02/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638264708 |
|---|---|
| Medicare Enrollment ID | O20071004000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568598688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
| Provider Name | David M Sloven |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932181807 PECOS PAC ID: 2466547534 Enrollment ID: I20071004000129 |
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