Individual
SARAH ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
Mailing address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010480
IL
363A00000X
Physician Assistant
10002680A
IN
Other
Enumeration date
01/09/2019
Last updated
08/19/2024
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