IndividualActive
Sargon Audisho
NPI 1568690899 · Public Health & General Preventive Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1568690899
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036132241 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4143 N Claremont Ave
Apt 2
Chicago, IL 60618-2919
Phone: (312) 218-1204
Approximate (ZIP-level) locationGet directions
Mailing address
890 E Higgins Rd
Schaumburg, IL 60173-4799
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2013-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.