Individual
DR. SARA SIROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5443 N BROADWAY ST # 2S, CHICAGO, IL 60640-1703
(847) 331-1919
Mailing address
5133 N KENMORE AVE # 2N, CHICAGO, IL 60640-3109
(847) 331-1919
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009394
IL
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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