Healthcare Provider Details

I. General information

NPI: 1326850744
Provider Name (Legal Business Name): SACHI LIAN TOEPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4812 W MONTROSE AVE APT 103
CHICAGO IL
60641-1505
US

IV. Provider business mailing address

4812 W MONTROSE AVE APT 103
CHICAGO IL
60641-1505
US

V. Phone/Fax

Practice location:
  • Phone: 773-401-1649
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.115174
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: