MEDICARE: SACHA OLAN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1639786973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SACHA OLAN MS

Provider Business Mailing Address
First Line	:	1130 S MICHIGAN AVE APT 415
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2316
Country	:	US
Telephone Number	:	904-477-5742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S CANAL ST STE 1129
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5058
Country	:	US
Telephone Number	:	904-477-5742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	03/31/2025

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Directions to “ SACHA OLAN MS” Practice Location

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