Provider Demographics
NPI:1730655309
Name:RINGNESS, SARAH KR
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KR
Last Name:RINGNESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:472 ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-8107
Mailing Address - Country:US
Mailing Address - Phone:630-466-6000
Mailing Address - Fax:630-466-6001
Practice Address - Street 1:472 ROUTE 47
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-8107
Practice Address - Country:US
Practice Address - Phone:630-466-6000
Practice Address - Fax:630-466-6001
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-018350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily