Provider Demographics
NPI:1093352106
Name:HUNG, SARAH (LAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HUNG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6S110 PARK MEADOW DR APT 10C
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-3825
Mailing Address - Country:US
Mailing Address - Phone:630-800-5643
Mailing Address - Fax:
Practice Address - Street 1:134 N YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2806
Practice Address - Country:US
Practice Address - Phone:331-462-1167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198001495171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist