Provider Demographics
NPI:1326896432
Name:WILLIAMS, SARAH LINNEA
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LINNEA
Last Name:WILLIAMS
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 1:2825 GABRIELLA ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3888
Mailing Address - Country:US
Mailing Address - Phone:715-923-9326
Mailing Address - Fax:
Practice Address - Street 1:2825 GABRIELLA ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3888
Practice Address - Country:US
Practice Address - Phone:715-923-9326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program