Provider Demographics
NPI:1912145475
Name:SADLER, JORDAN SARAH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:SARAH
Last Name:SADLER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 N DAMEN AVE STE 1F
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-3367
Mailing Address - Country:US
Mailing Address - Phone:773-988-0820
Mailing Address - Fax:
Practice Address - Street 1:2320 N DAMEN AVE STE 1F
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-3367
Practice Address - Country:US
Practice Address - Phone:773-988-0820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008686235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist