Provider Demographics
NPI:1922383298
Name:SALTI, JA SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:JA SUN
Middle Name:
Last Name:SALTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5000 S 5TH AVE
Mailing Address - Street 2:BUILDING 217
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-3030
Mailing Address - Country:US
Mailing Address - Phone:708-202-8387
Mailing Address - Fax:708-202-2397
Practice Address - Street 1:5000 S 5TH AVE
Practice Address - Street 2:BUILDING 217
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-3030
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-2397
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036135403207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine