Individual
DR. SANCHE NICHOLE MABINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.076508
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2019
Last updated
06/22/2020
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