Provider Demographics
NPI:1285714162
Name:MARC H SLUTSKY, MD SC
Entity type:Organization
Organization Name:MARC H SLUTSKY, MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:H
Authorized Official - Last Name:SLUTSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-861-0001
Mailing Address - Street 1:3535 PATTEN RD APT 8A
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5960
Mailing Address - Country:US
Mailing Address - Phone:128-610-0001
Mailing Address - Fax:312-644-8183
Practice Address - Street 1:3535 PATTEN RD APT 8A
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-5960
Practice Address - Country:US
Practice Address - Phone:312-861-0001
Practice Address - Fax:847-433-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0420021412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty