Provider Demographics
NPI:1497080410
Name:KRCMARIK, SARAH HOPE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HOPE
Last Name:KRCMARIK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 N NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3902
Mailing Address - Country:US
Mailing Address - Phone:312-493-4463
Mailing Address - Fax:
Practice Address - Street 1:405 N WABASH AVE UNIT 208
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3563
Practice Address - Country:US
Practice Address - Phone:312-755-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.010433103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty