Provider Demographics
NPI:1346581568
Name:BENNETT, SARA LYNN (DVM, MS, DACVB)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:LYNN
Last Name:BENNETT
Suffix:
Gender:F
Credentials:DVM, MS, DACVB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-2800
Mailing Address - Country:US
Mailing Address - Phone:708-749-4200
Mailing Address - Fax:708-749-4269
Practice Address - Street 1:2845 HARLEM AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2800
Practice Address - Country:US
Practice Address - Phone:708-749-4200
Practice Address - Fax:708-749-4269
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090011026174M00000X
IN24006595A174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian