Provider Demographics
NPI:1144853383
Name:SLABICH-POLLAK, ARTRINA (PSYD)
Entity type:Individual
Prefix:
First Name:ARTRINA
Middle Name:
Last Name:SLABICH-POLLAK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 W 95TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2574
Mailing Address - Country:US
Mailing Address - Phone:708-684-7938
Mailing Address - Fax:
Practice Address - Street 1:4700 W 95TH ST STE 205
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2574
Practice Address - Country:US
Practice Address - Phone:708-684-7938
Practice Address - Fax:708-499-3301
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071010257103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical