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Individual

PHYLLIS SASU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 E 46TH PL, CHICAGO, IL 60653-4205
(773) 507-8609
(773) 507-8609
Mailing address
525 E 46TH PL, CHICAGO, IL 60653-4205
(773) 507-8609

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.400848
IL
163WM0705X
Medical-Surgical Registered Nurse
041.400848
IL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
041.400848
IL

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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