Individual
SARITA MARIA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 W LAKE ST LOWR LEVEL, ADDISON, IL 60101-1101
(630) 628-1811
(630) 628-1501
Mailing address
1111 W LAKE ST LOWR LEVEL, ADDISON, IL 60101-1101
(630) 628-1811
(630) 628-1501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036083296
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365910
CLARETIAN MEDICAL CENTER
IL
01
—
365911
WEISS MEMORIAL
IL
01
—
L67763
WEISS MEMORIAL HOSP
IL
01
—
L94000
JOHN STROGER
IL
Enumeration date
06/26/2006
Last updated
01/04/2013
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