1053469338 NPI number — ANN SLINDE PT

Table of content: ANN SLINDE PT (NPI 1053469338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053469338 NPI number — ANN SLINDE PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SLINDE
Provider First Name:
ANN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053469338
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
790 REMINGTON BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOLINGBROOK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60440
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-370-8206
Provider Business Mailing Address Fax Number:
517-435-3670

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2050 MORSE STREET SUITE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JANESVILLE
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53545-2946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-305-1028
Provider Business Practice Location Address Fax Number:
608-554-4787
Provider Enumeration Date:
01/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  070-011665 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 070-011665 . This is a "PT STATE LICENSE #" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".