Active NPI
Eunice D Salley, CNA AND PA
- Contractor
- Chicago, IL
National Provider Identifier
1932347663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- A
- Practice address
- 9220 S Dauphin Ave
Suite 2
Chicago, IL 60619-7723 - Phone
- (312) 576-7127
- Fax
- (773) 874-0131
- NPI assigned
- Feb 3, 2009
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | A | IL | Primary |
Addresses
Primary practice location
9220 S Dauphin Ave
Suite 2
Chicago, IL 60619-7723
Mailing address
9220 S Dauphin Ave
Suite 2
Chicago, IL 60619-7723
Phone (312) 576-7127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1932347663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 S DAUPHIN AVE",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606197723",
"telephone_number": "312-576-7127",
"fax_number": "773-874-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 S DAUPHIN AVE",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606197723",
"telephone_number": "312-576-7127",
"fax_number": "773-874-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEY",
"first_name": "EUNICE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "CNA AND PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.