Healthcare Provider Details

I. General information

NPI: 1891626545
Provider Name (Legal Business Name): SARAH ELIZABETH CLAXTON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ELIZABETH JANSEN

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MEMORIAL DR BUILDING A, SUITE 220
ALTON IL
62002
US

IV. Provider business mailing address

4 MEMORIAL DR MEDICAL OFFICE BLDG. B, SUITE 115
ALTON IL
62002
US

V. Phone/Fax

Practice location:
  • Phone: 618-474-1723
  • Fax: 618-433-6299
Mailing address:
  • Phone: 618-474-1723
  • Fax: 618-433-6299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125.088775
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: