Organization
SACRED SPACE IN HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS EGGLESTON DNP (NURSE PRACTITIONER)
(773) 791-0019
Entity
Organization
Contact information
Practice address
10159 S VERNON AVE, CHICAGO, IL 60628-2235
(773) 791-0019
Mailing address
10159 S VERNON AVE, CHICAGO, IL 60628-2235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/27/2025
Last updated
11/27/2025
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