Individual
DR. SARA JESSICA KEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2740 W FOSTER AVE STE 401, CHICAGO, IL 60625-3591
(773) 907-3400
(773) 907-0341
Mailing address
2740 W FOSTER AVE STE 401, CHICAGO, IL 60625-3591
(773) 907-3400
(773) 907-0341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95566
CA
207RI0200X
Infectious Disease Physician
01079261A
IN
207RI0200X
Infectious Disease Physician
Primary
036.144659
IL
207RI0200X
Infectious Disease Physician
35099974
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103068
—
OH
Enumeration date
01/24/2007
Last updated
10/29/2018
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