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Organization
SACRED SPACE IN HOME HEALTH CARE LLC
Active
Organization
SACRED SPACE IN HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS EGGLESTON DNP (NURSE PRACTITIONER)
(773) 791-0019
Entity
Organization
Contact information
Practice address
10159 S VERNON AVE, CHICAGO, IL 60628-2235
(773) 791-0019
Mailing address
10159 S VERNON AVE, CHICAGO, IL 60628-2235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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