Provider Demographics
NPI:1225359870
Name:FLORENCE, SARAH R (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:R
Last Name:FLORENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2539 N KEDZIE BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-1435
Mailing Address - Country:US
Mailing Address - Phone:773-609-3691
Mailing Address - Fax:866-364-6767
Practice Address - Street 1:2539 N KEDZIE BLVD STE 4
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-1435
Practice Address - Country:US
Practice Address - Phone:773-609-3691
Practice Address - Fax:866-364-6767
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361319992084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry