Individual
DR. NICHOLAS GEORGE SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(773) 208-5872
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02003773A
IN
207P00000X
Emergency Medicine Physician
Primary
02003773B
IN
207P00000X
Emergency Medicine Physician
036121607
IL
Other
Enumeration date
10/16/2008
Last updated
02/04/2022
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