Organization · Type 2 NPI

Sacred Space In Home Health Care LLC

Adult Health Nurse Practitioner · Chicago, IL

NPI number 1356203368 Active

Practice location

10159 S Vernon Ave
Chicago, IL 60628-2235

Call (773) 791-0019 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNone listed

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1356203368

Sacred Space In Home Health Care LLC's National Provider Identifier is 1356203368, issued on Nov 27, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Nov 27, 2025.