ELLEN SLADE

CHICAGO, IL
NPI1528531944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601009218)
Enumeration Date2019-01-08
Last Update Date2024-04-25
Business Address
ELLEN SLADE PA-C
2875 W 19TH ST
CHICAGO, IL 60623-3501
Phone number: 313-533-5002
Mailing Address
ELLEN SLADE PA-C
PO BOX 772290
DETROIT, MI 48277-2290
Phone number: