Individual
SARA KEBEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSCR
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-6112
(217) 545-2588
Mailing address
PO BOX 19653, SPRINGFIELD, IL 62794-9653
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
125.083225
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
125.083225
IL
Other
Enumeration date
09/01/2021
Last updated
06/11/2024
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