Healthcare Provider Details

I. General information

NPI: 1639513153
Provider Name (Legal Business Name): ANDREA SAUL DNP, NPI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 HARNISH DR STE 100
ALGONQUIN IL
60102-6846
US

IV. Provider business mailing address

447 ESSELEN CT
CAROL STREAM IL
60188-9216
US

V. Phone/Fax

Practice location:
  • Phone: 847-440-2281
  • Fax:
Mailing address:
  • Phone: 815-344-7821
  • Fax: 224-333-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209021943
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180008580
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071008694
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041417556
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: