Healthcare Provider Details

I. General information

NPI: 1992623102
Provider Name (Legal Business Name): SARA HELLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

600 S PAULINA ST # 1080
CHICAGO IL
60612-3806
US

IV. Provider business mailing address

3250 W CRYSTAL ST APT 3
CHICAGO IL
60651-3660
US

V. Phone/Fax

Practice location:
  • Phone: 312-942-7117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.524361
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: