Individual
SARA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 N STATE ST FL 14, CHICAGO, IL 60654-2783
(816) 387-3767
Mailing address
PO BOX 2690, CAROL STREAM, IL 60132-2690
(816) 387-3767
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
14-119993-022
KS
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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