Individual
SARA BETH GOSSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-6169
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085004769
IL
363AS0400X
Surgical Physician Assistant
085-004769
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004769
ILLINOIS PHYSICIAN ASSISTANT
IL
Enumeration date
07/31/2013
Last updated
03/07/2023
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