Individual
DR. ANNA SAGAN-BLAUSIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4321 S PULASKI ROAD, CHICAGO, IL 60632
(773) 585-2410
(773) 284-0913
Mailing address
4321 S PULASKI ROAD, CHICAGO, IL 60632
(773) 585-2410
(773) 284-0913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-101434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-101434
IL STATE
IL
05
—
036101434
—
IL
01
—
14D0713711
CLIA
IL
01
—
41851
MALPRACTICE IN
IL
01
—
BS-6689890
BNDD
IL
Enumeration date
06/28/2005
Last updated
03/29/2021
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