Healthcare Provider Details

I. General information

NPI: 1033026885
Provider Name (Legal Business Name): SARA ABIGAIL PRICE LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6321 N AVONDALE AVE STE 204
CHICAGO IL
60631-1961
US

IV. Provider business mailing address

7006 N PAULINA ST APT 2
CHICAGO IL
60626-6871
US

V. Phone/Fax

Practice location:
  • Phone: 773-774-4444
  • Fax:
Mailing address:
  • Phone: 815-814-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number150.131287
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: