Laura Sasic Lalich, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019019216 Issued in IL

Practice address

2630 Flossmoor Rd Ste 103
Flossmoor, IL 60422-1560

Phone

(708) 798-0990

Fax

(708) 798-3370

NPI assigned

Jan 10, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1285784637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 CAMBRIDGE PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775279",
            "telephone_number": "708-633-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 FLOSSMOOR RD STE 103",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221560",
            "telephone_number": "708-798-0990",
            "fax_number": "708-798-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASIC LALICH",
        "first_name": "LAURA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saj Family Practice Health and Wellness Center LLC
• Sameh Nabelsi MD SC
• Roxane Y Sanders, M.D.
• Sandra Anderson, LCSW
• Jennifer C Sarkey, NP-C
• Vasantha J Sastry, M.D.
• Patricia B Sawyer, LCSW
• Richard Schillo, C.R.N.A
• Pauline Schultz, CRNA
• Wendy M Schweinfurth, O.D.

• General Practice Dentistry in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.