Most Relevant Information
Provider Data
| NPI Number: | 1003326430 |
| Provider Name: | PHYLLIS SASU |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 041.400848 |
Most Important Dates
| Enumeration Date: | 10/12/2017 |
| Last Updated: | 10/12/2017 |
Provider Practice Location
525 E 46TH PL
CHICAGO
IL
606534205
Practice Location Phone/Fax
| Phone: | 7735078609 |
| Fax: | 7735078609 |
Provider Mailing Location
525 E 46TH PL
CHICAGO
IL
606534205
Provider Mailing Phone/Fax
| Phone: | 7735078609 |
| Fax: |