Provider Demographics
NPI:1831901255
Name:SALLY HEALTH CONSULTING
Entity type:Organization
Organization Name:SALLY HEALTH CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ISHMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-802-9646
Mailing Address - Street 1:5410 W MAIN ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:MONEE
Mailing Address - State:IL
Mailing Address - Zip Code:60449-8101
Mailing Address - Country:US
Mailing Address - Phone:312-802-9646
Mailing Address - Fax:866-439-2402
Practice Address - Street 1:5604 W SUTTON PL UNIT A
Practice Address - Street 2:
Practice Address - City:MONEE
Practice Address - State:IL
Practice Address - Zip Code:60449-8131
Practice Address - Country:US
Practice Address - Phone:312-802-9646
Practice Address - Fax:866-439-2402
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALLY HEALTH & INNOVATIVE PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty