Individual
SANDRA H GARRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 LAKE ZURICH RD, BARRINGTON, IL 60010-3141
(847) 381-5599
(847) 381-1431
Mailing address
405 LAKE ZURICH RD, BARRINGTON, IL 60010-3141
(847) 381-5599
(847) 381-1431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-073462
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036073462
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-073462
LICENSE #
IL
01
—
110227220
RAILROAD MEDICARE
IL
01
—
L88004
MEDICARE LEGACY
IL
Enumeration date
06/22/2006
Last updated
03/01/2017
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