Individual
SARA FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(815) 489-4267
(815) 966-3967
Mailing address
PO BOX 15785, LOVES PARK, IL 61132-5785
(815) 654-7772
(815) 654-7009
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036096754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096754
—
IL
Enumeration date
02/02/2006
Last updated
07/19/2019
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