Individual
SABINE DUPITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 S MICHIGAN AVE, B-500, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 567-6156
Mailing address
2525 S MICHIGAN AVE, B-500, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003633
IL
363AS0400X
Surgical Physician Assistant
085003633
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBSIL GROUP
IL
01
—
950150
MEDICARE GROUP #
IL
Enumeration date
03/16/2010
Last updated
04/23/2021
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