Individual
RONALD SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-5825
(708) 216-3280
Mailing address
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-3280
(708) 216-5858
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
16002933
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16002933
—
IL
01
—
L98024
MEDICARE
IL
Enumeration date
02/15/2006
Last updated
08/09/2012
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