Provider Demographics
NPI:1386285674
Name:NADEEM, SARA (OTR)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:NADEEM
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 W DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-3704
Mailing Address - Country:US
Mailing Address - Phone:847-777-8995
Mailing Address - Fax:
Practice Address - Street 1:11914 S ROUTE 59 STE 134
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5110
Practice Address - Country:US
Practice Address - Phone:815-469-1500
Practice Address - Fax:815-676-9090
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056013226225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics