Provider Demographics
NPI:1154969103
Name:LIM-DWYER, SARAH JACQUELINE (APRN, CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JACQUELINE
Last Name:LIM-DWYER
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JACQUELINE
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:25 N WINFIELD RD STE 420
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1379
Mailing Address - Country:US
Mailing Address - Phone:630-682-8700
Mailing Address - Fax:630-352-5582
Practice Address - Street 1:25 N WINFIELD RD STE 420
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1379
Practice Address - Country:US
Practice Address - Phone:630-682-8700
Practice Address - Fax:630-352-5582
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61007461363LF0000X
IL209027127363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily