Organization Name: | RAMONA I. SLUPIK, MD SC |
NPI Number: | 1043226863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAMONA I SLUPIK (OWNER) |
Mailing Address: | 1 E Erie St Suite 530 Chicago |
State: | IL US |
Postal Code: | 606112740 |
Phone Number: | 3122020551 |
Fax Number: | 3123979601 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 06/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036062636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |