Provider Demographics
NPI:1962934794
Name:SARAH PIFKIN RUGER THERAPY, LTD.
Entity type:Organization
Organization Name:SARAH PIFKIN RUGER THERAPY, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:PIFKIN
Authorized Official - Last Name:RUGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:815-978-1434
Mailing Address - Street 1:670 STILLWATER LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6609
Mailing Address - Country:US
Mailing Address - Phone:815-978-1434
Mailing Address - Fax:
Practice Address - Street 1:670 STILLWATER LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6609
Practice Address - Country:US
Practice Address - Phone:815-978-1434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146013035235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty