Individual
SARAH MARIE LACOST YOUSKIEVICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
Mailing address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.079777
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2022
Last updated
06/13/2022
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