Provider Demographics
NPI:1790423713
Name:CHIREN, SARAH G (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:G
Last Name:CHIREN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 N WESTMORELAND RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1687
Mailing Address - Country:US
Mailing Address - Phone:847-735-8550
Mailing Address - Fax:847-582-2198
Practice Address - Street 1:800 N WESTMORELAND RD STE 102
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1687
Practice Address - Country:US
Practice Address - Phone:847-735-8550
Practice Address - Fax:847-582-2198
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-20
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
IL085009202363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant