Provider Demographics
NPI:1073636353
Name:SARA'S PEDIATRIC CARE, INC
Entity Type:Organization
Organization Name:SARA'S PEDIATRIC CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:HOLLY
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:708-848-8893
Mailing Address - Street 1:1117 S EAST AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-2105
Mailing Address - Country:US
Mailing Address - Phone:708-844-8889
Mailing Address - Fax:708-848-7793
Practice Address - Street 1:1117 S EAST AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-2105
Practice Address - Country:US
Practice Address - Phone:708-844-8889
Practice Address - Fax:708-848-7793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty
Not Answered251E00000XAgenciesHome Health