Provider Demographics
NPI:1467694927
Name:SANTE,INC.
Entity type:Organization
Organization Name:SANTE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDOUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:COUPET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-849-4004
Mailing Address - Street 1:14229 CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-1203
Mailing Address - Country:US
Mailing Address - Phone:708-849-4004
Mailing Address - Fax:708-849-4003
Practice Address - Street 1:14229 CHICAGO RD
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-1203
Practice Address - Country:US
Practice Address - Phone:708-849-4004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36060486207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-060486Medicaid