CHARLES SLACK (NPI# 1558316893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558316893 |
| Entity Type | Individual |
| Full Name | CHARLES SLACK |
| Credential | MD |
| Practice Address |
150 N Michigan Ave Suite 1400 Chicago IL 60601-7553 |
| Mailing Address |
900 Rand Rd Ste 300 Attn: Raquel Leon Des Plaines IL 60016-2359 |
| Practice Telephone | 3124441145 |
| Mailing Telephone | 8473243976 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 036-048353 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-048353 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720038151 | Charles Thornton Slack | Plastic Surgery | 1105 Central Expy North, Suite 370, Allen, TX 75013 | 2006-05-10 |
| Street Address |
150 N MICHIGAN AVE SUITE 1400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-7553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073514485 | Charles Hoang | Optometrist | 150 N Michigan Ave, Ste. 650, Chicago, IL 60601-7553 | 2005-08-09 |
| 1124487848 | Living Health Works LLC | Health Educator | 150 N Michigan Ave, Suite 2800, Chicago, IL 60601-7553 | 2016-02-23 |
| 1265812192 | Family Solutions of Illinios Inc | Clinic/Center | 150 N Michigan Ave, Suite 800, Chicago, IL 60601-7553 | 2015-06-05 |
| 1659789881 | Charlotte Hammond | Dietitian, Registered | 150 N Michigan Ave, Ste 800, Chicago, IL 60601-7553 | 2014-07-31 |
| 1457798761 | Dana Lundin | Acupuncturist | 150 N Michigan Ave, Suite 800, Chicago, IL 60601-7553 | 2013-05-28 |
| 1720394356 | Jodie Erin Singer | Psychologist | 150 N Michigan Ave, Suite 800, Chicago, IL 60601-7553 | 2010-08-20 |
| 1215262886 | Jacob Colton | Social Worker | 150 N Michigan Ave, Chicago, IL 60601-7553 | 2009-10-14 |
| 1952524183 | Ellyn K. Daniels | Psychologist | 150 N Michigan Ave, Suite 2145, Chicago, IL 60601-7553 | 2007-04-10 |
| 1154488401 | Pinski Dermatology & Cosmetic Surgery Sc | Dermatology | 150 N Michigan Ave, Suite 1200, Chicago, IL 60601-7553 | 2007-01-03 |
| 1003973413 | Kevin Scott Pinski | Dermatology | 150 N Michigan Ave, Suite 1200, Chicago, IL 60601-7553 | 2007-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
| Find all providers in zip 60601 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342194 | Kevin James Rasuli | Orthopaedic Surgery | 1611 W Harrison St. Ste. 400, Chicago, IL 60612 | 2019-05-22 |
| 1639697485 | Jason Alexander Strelzow | Orthopaedic Surgery | 5841 S Maryland Ave Rm S256, Chicago, IL 60637-1443 | 2017-08-31 |
| 1750732277 | Ian Maclean | Orthopaedic Surgery | 1650 W. Harrison St Suite 466 Atrium, Chicago, IL 60612 | 2016-06-27 |
| 1285084046 | South Chicago Orthopedic Specialists, Sc | Orthopaedic Surgery | 1701 W Monterey Ave Ste 4, Chicago, IL 60643-4257 | 2016-06-13 |
| 1437565488 | Thomas Barrett Sullivan | Orthopaedic Surgery | 1611 W Harrison St Ste 201, Chicago, IL 60612-4861 | 2014-07-09 |
| 1104231059 | David Crandall Hirsch | Orthopaedic Surgery | 5841 S Maryland Ave # 3078, Chicago, IL 60637-1443 | 2014-06-29 |
| 1649684945 | Clarabelle Adelaide Devries | Orthopaedic Surgery | 5758 S Maryland Ave Dept 4b, Chicago, IL 60637-1426 | 2014-06-13 |
| 1346651551 | Matthew Caid | Orthopaedic Surgery | 2316 W Belden Ave, Chicago, IL 60647-3266 | 2014-05-12 |
| 1790104396 | Peter Garas | Orthopaedic Surgery | 5841 S Maryland Ave # 3079, Chicago, IL 60637-1443 | 2014-04-10 |
| 1942628730 | Michael Mccarthy | Orthopaedic Surgery | 676 N Saint Clair St Ste 1350, Chicago, IL 60611-4795 | 2014-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.