Healthcare Provider Details

I. General information

NPI: 1346781655
Provider Name (Legal Business Name): SABRINA STRAJACK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 N SHERIDAN RD 807
CHICAGO IL
60657-5964
US

IV. Provider business mailing address

2930 N SHERIDAN RD 807
CHICAGO IL
60657-5964
US

V. Phone/Fax

Practice location:
  • Phone: 847-309-5007
  • Fax:
Mailing address:
  • Phone: 847-309-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041385136
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209015776
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: