Provider Demographics
NPI:1649239419
Name:CLUEVER, SARAH LYNN (ATC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:CLUEVER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:FUTHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2222
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:2121 W INDIAN TRL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1613
Practice Address - Country:US
Practice Address - Phone:630-907-9012
Practice Address - Fax:630-907-9019
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist