Sasi, Elwood P Nyther | |
8251 S Rhodes Ave 4500 S Michigan Chicago IL 60619-5005 | |
(773) 818-9607 | |
Not Available |
Full Name | Sasi, Elwood P Nyther |
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Speciality | Counselor - Mental Health |
Location | 8251 S Rhodes Ave, Chicago, Illinois |
Authorized Official Name and Position | Elwood P Nyther (PRESIDENT/CEO) |
Authorized Official Contact | 7738189607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sasi, Elwood P Nyther 8251 S Rhodes Ave Chicago IL 60619-5005 Ph: (773) 818-9607 | Sasi, Elwood P Nyther 8251 S Rhodes Ave 4500 S Michigan Chicago IL 60619-5005 Ph: (773) 818-9607 |
NPI Number | 1407285638 |
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Provider Enumeration Date | 11/07/2013 |
Last Update Date | 11/07/2013 |
Identifier | Type | State | Issuer |
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1407285638 | NPI | - | NPPES |
1477561116 | Other | IL | PTAN# IL7750 |
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