Individual
SARA HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, DO
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125074097
IL
Other
Enumeration date
07/11/2011
Last updated
08/03/2019
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