Phyllis Marie Sit, APN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209000411 Issued in IL

Practice address

1901 W Harrison St
Room 3675
Chicago, IL 60612-3714

Phone

(312) 864-3215

Fax

(312) 864-9600

NPI assigned

Jul 4, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Ma, LLC

  • Anesthesiology Physician
  • Oak Lawn, IL
  • NPI 1295751956
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1124058359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BARRYPOINT RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462840",
            "telephone_number": "708-447-7440",
            "fax_number": "312-864-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "address_2": "ROOM 3675",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-3215",
            "fax_number": "312-864-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIT",
        "first_name": "PHYLLIS",
        "middle_name": "MARIE",
        "credential": "APN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sista Afya Community Mental Wellness LLC
• Kenneth Mark Sistino, D.C.
• Amy Siston, PH.D.
• Charles Sisung, MD
• Dorothy K. Sit, M.D.
• Teresa Sit, LPC, ATR
• Timothy Sita, MD, PHD
• Evan Sitar
• Lalitha Meenambal Sitaraman, MD
• Noi Sithichoke-Rattan, NP

• Certified Registered Nurse Anesthetist in Chicago, IL
• Providers in Chicago, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.