MEDICARE: SABRINA GANSHAW

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	101YP2500X	Professional Counselor	178.0224441	IL

General Provider Information

NPI Number	:	1831052141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA GANSHAW

Provider Business Mailing Address
First Line	:	1845 E RAND RD STE L109
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1845 E RAND RD STE L109
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4375
Country	:	US
Telephone Number	:	224-446-6101
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ SABRINA GANSHAW ” Practice Location

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