Individual
MISS SARA ELIZABETH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1130 W GRANVILLE AVE, CHICAGO, IL 60660-2013
(773) 784-6682
Mailing address
1130 W GRANVILLE AVE, CHICAGO, IL 60660-2013
(773) 784-6682
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209008205
IL
363LA2200X
Adult Health Nurse Practitioner
784785
TX
Other
Enumeration date
11/23/2010
Last updated
09/16/2015
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