Healthcare Provider Details

I. General information

NPI: 1114174828
Provider Name (Legal Business Name): SARAH CATHLEEN PETERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 S MCHENRY RD
BUFFALO GROVE IL
60089-6705
US

IV. Provider business mailing address

15 S MCHENRY RD
BUFFALO GROVE IL
60089-6705
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-0326
  • Fax: 847-618-0762
Mailing address:
  • Phone: 847-618-0326
  • Fax: 847-618-0762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number036125565
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036125565
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: