Individual
SARA E THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
311 W FAIRCHILD ST, DANVILLE, IL 61832-3876
(217) 431-7600
(217) 431-7850
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005416
IL
363AM0700X
Medical Physician Assistant
085.005416
IL
Other
Enumeration date
04/06/2015
Last updated
08/14/2019
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