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Individual

MS. LAURA E. SAINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1611 W HARRISON ST, STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
(708) 409-5179
Mailing address
1 WESTBROOK CORPORATE CTR, STE 240, WESTCHESTER, IL 60154-5701
(708) 236-2673
(708) 409-5179

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APPLIED FOR
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1912218850
NPI GROUP PRACTICE
IL
Enumeration date
06/14/2012
Last updated
01/12/2021
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