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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

NPI # 1629321922
LBN Legal business name SAGE PSYCHIATRY LLC
Authorized official DANNEILLE TRUJILLO-HANSEN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2012
Last updated 05/04/2017 - About 9 years ago
Identifiers
IL License # 36117556
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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