Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES M VAN SLAMBROUCK, MD
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · HAZEL CREST, IL
Registration Details
- NPI Number
- 1356653596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2010 (15.841188226178 yrs)
- Last Updated
- Dec 9, 2021
- Licenses
-
036132369 (IL)036132369 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17800 KEDZIE AVEHAZEL CREST, IL, 604292029Browse IL providers · Browse ZIP 60429
- Phone
- 7087998000
- Fax
- 7082130163
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.