Individual
SAUSAN LOUTFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1875 DEMPSTER ST STE 145, PARK RIDGE, IL 60068-1125
(847) 723-8610
(847) 723-2290
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-010025
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/26/2022
Last updated
06/26/2025
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