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1558316893
CHARLES SLACK
CHICAGO, IL
NPI
1558316893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036-048353)
Enumeration Date
2006-05-24
Last Update Date
2012-08-28
Business Address
-- CHARLES SLACK MD
150 N MICHIGAN AVE SUITE 1400
CHICAGO, IL 60601-7553
Phone number: 312-444-1145
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Mailing Address
-- CHARLES SLACK MD
900 RAND RD STE 300 ATTN: RAQUEL LEON
DES PLAINES, IL 60016-2359
Phone number: 847-324-3976
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