Individual
LUIS M. SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-7488
(773) 869-3578
Mailing address
8441 NEENAH AVE, BURBANK, IL 60459-2345
(708) 430-8742
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-000446
IL
Other
Enumeration date
04/09/2007
Last updated
04/30/2021
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