Individual
KYLE SASSATELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611-2927
(312) 908-8163
(312) 695-1394
Mailing address
676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611-2927
(312) 908-8163
(312) 695-1394
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026062
IL
363LA2100X
Acute Care Nurse Practitioner
APN.0997707-NP
CO
Other
Enumeration date
09/01/2022
Last updated
12/14/2022
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