Individual
DR. THERESA SAKYIAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 MANCHESTER RD STE 1510, WHEATON, IL 60187-4561
(630) 653-1717
(630) 653-7926
Mailing address
0N202 WOODLAND CT, WHEATON, IL 60187-3030
(319) 610-0289
(630) 376-7595
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036123416
IL
2084P0804X
Child & Adolescent Psychiatry Physician
35553
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434027
—
IA
Enumeration date
06/13/2006
Last updated
04/02/2025
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