Sage, Ronald

Sage, Ronald is an individual health care provider with primary practice located at 2160 S 1St Ave 101-1740 Loyola University Medical Center, Maywood IL 60153. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sage, Ronald can be contacted via phone (708) 216-5825.

Contact Information

Primary practice address
2160 S 1St Ave 101-1740 Loyola University Medical Center Maywood IL 60153
Phone: (708) 216-5825
Fax: (708) 216-3280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 16002933 Illinois

Profile Details

NPI number 1932173077
LBN Legal business name Sage, Ronald
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 9th, 2012 - 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 1932173077 NPPES
Illinois MEDICAID 16002933
Illinois Other L98024

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