| Sausan Loutfi, PA-C | |
|
1875 Dempster St Ste 145, Park Ridge, IL 60068-1125 | |
| (847) 723-8610 | |
| (847) 723-2290 |
| Full Name | Sausan Loutfi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1875 Dempster St Ste 145, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 085-010025 (Illinois) | Primary |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Sausan Loutfi, PA-C 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Sausan Loutfi, PA-C 1875 Dempster St Ste 145, Park Ridge, IL 60068-1125 Ph: (847) 723-8610 |
Ms. Stacey K Vilione, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210 Fax: 847-692-7915 |
Tara Lykowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 S Northwest Hwy Ste 100, Park Ridge, IL 60068 Phone: 773-631-7898 Fax: 773-631-3005 |
Benjamin D Albrecht, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1550 N Northwest Hwy Ste 220, Park Ridge, IL 60068 Phone: 847-824-3198 Fax: 847-824-1291 |
Alyssa Ann Johnson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-5043 |
Sarah Motta, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 Fax: 847-723-2041 |
Molly Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 |
Sophie Carolyn Drescher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 465, Park Ridge, IL 60068 Phone: 847-318-9071 Fax: 847-318-2535 |