MEDICARE: SARAH TOLAN-MEE MSMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1417747080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH TOLAN-MEE MSMT

Provider Business Mailing Address
First Line	:	7833 NILES CENTER RD
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2704
Country	:	US
Telephone Number	:	917-225-5262
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 DAVIS ST STE 301
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-4480
Country	:	US
Telephone Number	:	917-225-5262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

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