Sagan-Blausius, Anna

Sagan-Blausius, Anna is an sole proprietor health care provider with primary practice located at 4321 S Pulaski Road , Chicago IL 60632. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sagan-Blausius, Anna can be contacted via phone (773) 585-2410.

Contact Information

Primary practice address
4321 S Pulaski Road Chicago IL 60632
Phone: (773) 585-2410
Fax: (773) 284-0913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-101434 Illinois

Profile Details

NPI number 1285631838
LBN Legal business name Sagan-Blausius, Anna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2005
Last updated Mar 29th, 2021 - about 3 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 1285631838 NPPES
Illinois Other 41851 MALPRACTICE IN
Illinois MEDICAID 036101434 MALPRACTICE IN
Illinois Other 036-101434 MALPRACTICE IN
Illinois Other 14D0713711 MALPRACTICE IN
Illinois Other BS-6689890 MALPRACTICE IN

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