Individual
MICHAEL ANDREW SASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N EDWARD ST, DECATUR MEMORIAL HOSPITAL, DECATUR, IL 62526
(217) 876-5011
(217) 876-5013
Mailing address
6450 RELIABLE PARKWAY, CHICAGO, IL 60686
(217) 788-3000
(217) 788-5577
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360738101
—
IL
Enumeration date
08/01/2006
Last updated
07/08/2007
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