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Individual

SARAH SWEENEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4801 W. PETERSON SUITE 301, CHICAGO, IL 60046
(773) 202-1616
Mailing address
124 5TH STREET, WILMETTE, IL 60091
(847) 256-2395

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1625906
BLUE CROSS BLUE SHEILD
ID
01
SS41530399P
EARLY INTERVENTION
IL
Enumeration date
03/16/2007
Last updated
07/08/2007
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