Individual
MS. SARA BURKE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 926-8341
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 926-8341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006538
IL
363AM0700X
Medical Physician Assistant
2018034962
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220060165
—
MO
Enumeration date
08/22/2018
Last updated
08/27/2025
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