Organization
SARAH R FLORENCE, MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH R FLORENCE MD (PSYCHIATRIST)
(773) 609-3691
Entity
Organization
Contact information
Practice address
645 N MICHIGAN AVE, SUITE 820, CHICAGO, IL 60611-2826
(773) 609-3691
Mailing address
645 N MICHIGAN AVE, SUITE 820, CHICAGO, IL 60611-2826
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036131999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225359870
CMS
IL
Enumeration date
09/28/2015
Last updated
09/28/2015
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