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Contact Information

SAGE PSYCHIATRY LLC
410 W ST LOUIS STREET
WEST FRANKFORT, IL62896
 Phone: 618-937-1111
 Fax: 618-937-1112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for SAGE PSYCHIATRY LLC · (Female)

NPI Number 1629321922
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2012
Last updated 05/04/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 36117556
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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