Provider Demographics
NPI:1346036845
Name:MCWHERTER, SABRINA (APRN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:MCWHERTER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 N 129TH INFANTRY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-5002
Mailing Address - Country:US
Mailing Address - Phone:815-725-2653
Mailing Address - Fax:
Practice Address - Street 1:903 N 129TH INFANTRY DR STE 400
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-5002
Practice Address - Country:US
Practice Address - Phone:815-725-2653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.031776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily