Provider Demographics
NPI:1376882746
Name:BEYLER, SARA ANNE (CO)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ANNE
Last Name:BEYLER
Suffix:
Gender:F
Credentials:CO
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:BEYLER
Other - Last Name:RUBINSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:ANN & ROBERT H. LURIE CHILDRENS HOSPITAL ORTHOTICS DEPA
Mailing Address - Street 2:2515 N CLARK ST, SUITE 802
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614
Mailing Address - Country:US
Mailing Address - Phone:312-227-6210
Mailing Address - Fax:312-227-9429
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Z00000X
IL213.000284174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist