Smith, Sarah Elizabeth

Smith, Sarah Elizabeth is an individual health care provider with primary practice located at 3310 W Main St Suite 200, St Charles IL 60175-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Smith, Sarah Elizabeth can be contacted via phone (630) 897-6044.

Contact Information

Primary practice address
3310 W Main St Suite 200 St Charles IL 60175-1000
Fax: (630) 897-0180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036121179 Illinois

Profile Details

NPI number 1275796260
LBN Legal business name Smith, Sarah Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Nov 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275796260 NPPES
Illinois MEDICAID 036121179

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