Andrea N Slasuraitis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-109447 Issued in IL

Practice address

600 E Sibley Blvd
Dolton, IL 60419-2599

Phone

(708) 340-7400

Fax

(708) 340-7140

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andrea N Emmett Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocate Health and Hospitals Corporation

  dba Advocate Medical Group

  • Multi-Specialty Clinic/Center
  • Oak Brook, IL
  • NPI 1700824455
  Medicare reassignment NPD
• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643

  Internal Medicine

  Medicare reassignment NPD
• PMR Illinois Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1770038671

  IL

  Medicare reassignment NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Children's Hospital

  • Children's Hospital
  • Oak Lawn, IL
  • NPI 1508315516
  NPD
• Advocate Health and Hospitals Corporation

  dba Advocate Good Samaritan Hospital

  • General Acute Care Hospital
  • Downers Grove, IL
  • NPI 1578670543
  NPD
• West Suburban Hospital Medical Center

  dba West Suburban Skilled Nursing Unit

  • Skilled Nursing Facility
  • Oak Park, IL
  • NPI 1538206974
  NPD (past)
• West Suburban Medical Center

  dba West Suburban Health Care Physicians SVCS

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1649499096

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1942236393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E SIBLEY BLVD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192599",
            "telephone_number": "708-340-7400",
            "fax_number": "708-340-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E SIBLEY BLVD",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604192599",
            "telephone_number": "708-340-7400",
            "fax_number": "708-340-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Erie Ct",
            "address_2": "L600",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022519",
            "country_code": "US",
            "telephone_number": "708-763-1222",
            "fax_number": "708-383-7655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLASURAITIS",
        "first_name": "ANDREA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-109447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "EMMETT",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Serenity Haven Adult Day Care Inc
• Dev D Sharma, M.D.
• Tatiana Sheppard
• Tina A Shroff, DDS
• Lee B Silverglade, D.D.S.
• SLM Developmental, Inc.
• Leslie Smith
• South Holland Dental PC (Metro Smiles - Dolton)
• Southland Home Labs Corp.,
• Gregory Peck Stapleton Sr.

• Internal Medicine Physician in Dolton, IL
• Providers in Dolton, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.