Individual
SARAH KAPOLNEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
999 E TOUHY AVE STE 450, DES PLAINES, IL 60018-2748
(877) 342-0237
Mailing address
999 E TOUHY AVE STE 450, DES PLAINES, IL 60018-2748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008699
IL
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.008699
LICENSE NUMBER
IL
Enumeration date
08/04/2021
Last updated
06/09/2023
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