Provider Demographics
NPI:1407448798
Name:SAGE AND HEALER, LLC
Entity Type:Organization
Organization Name:SAGE AND HEALER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIYAH-DOV
Authorized Official - Middle Name:MATTISYAHU
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CMLDT
Authorized Official - Phone:312-824-1427
Mailing Address - Street 1:5940 N SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-3644
Mailing Address - Country:US
Mailing Address - Phone:312-824-1427
Mailing Address - Fax:
Practice Address - Street 1:5940 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-3644
Practice Address - Country:US
Practice Address - Phone:312-824-1427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty