Halm Lutterodt, Sarah G
Halm Lutterodt, Sarah G is an individual health care provider with primary practice located at 1625 E 75Th St Second Floor, Chicago IL 60649-3603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Halm Lutterodt, Sarah G can be contacted via phone (773) 947-7800.Contact Information
Primary practice address
1625 E 75Th St Second Floor
Chicago IL 60649-3603
Phone: (773) 947-7800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / School | 363LS0200X | 209-005280 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 209-005280 | Illinois |
Profile Details
NPI number | 1891813473 |
---|---|
LBN Legal business name | Halm Lutterodt, Sarah G |
Credentials | APN,CNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Apr 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891813473 | NPPES |
Illinois | MEDICAID | 209-005280 |
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