Individual
MISS SARAH LUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1050 CHICAGO AVE, OAK PARK, IL 60302-1835
(708) 383-6366
(708) 383-6449
Mailing address
1050 CHICAGO AVE, OAK PARK, IL 60302-1835
(708) 383-6366
(708) 383-6449
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004722
IL
363AS0400X
Surgical Physician Assistant
385.003397
IL
363AS0400X
Surgical Physician Assistant
85004722
IL
Other
Enumeration date
11/08/2013
Last updated
02/23/2023
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