Healthcare Provider Details

I. General information

NPI: 1760792972
Provider Name (Legal Business Name): SARAH MILLS FITZ APN, ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2010
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 W ROOSEVELT RD
CHICAGO IL
60608-1316
US

IV. Provider business mailing address

1640 W ROOSEVELT RD
CHICAGO IL
60608-1316
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-6480
  • Fax:
Mailing address:
  • Phone: 312-996-6480
  • Fax: 312-413-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277001256
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number277001256
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: