Individual
SARA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009123
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/22/2021
Last updated
12/02/2022
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