Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 071005221 | IL |
Y | 103T00000X | Psychologist | 071005221 | IL |
NPI | 1013023746 |
---|---|
Provider Name | Francis A Sassetti |
First Address | Chicago, IL 60660-2786 |
Second Address | Chicago, IL 60660-2786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 05/10/2020 |