Provider Demographics
NPI:1760090047
Name:SCHIED, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SCHIED
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 1:9735 SKOKIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1383
Mailing Address - Country:US
Mailing Address - Phone:847-380-8969
Mailing Address - Fax:847-972-1117
Practice Address - Street 1:9735 SKOKIE BLVD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1383
Practice Address - Country:US
Practice Address - Phone:847-380-8969
Practice Address - Fax:847-972-1117
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209021057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily