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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891813473 NPPES
Illinois MEDICAID 209-005280

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