Organization
SAGE PSYCHIATRY LLC
Active
Organization
SAGE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNEILLE TRUJILLO-HANSEN APNBC (OWNER/PRESIDENT)
(618) 937-1111
Entity
Organization
Contact information
Practice address
410 W ST LOUIS STREET, WEST FRANKFORT, IL 62896
(618) 937-1111
(618) 937-1112
Mailing address
410 W ST LOUIS STREET, WEST FRANKFORT, IL 62896
(618) 937-1111
(618) 937-1112
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
36117556
IL
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/24/2012
Last updated
05/04/2017
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