Healthcare Provider Details

I. General information

NPI: 1699394866
Provider Name (Legal Business Name): ANNIE SAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 FLETCHER DR STE 101
ELGIN IL
60123-4757
US

IV. Provider business mailing address

424 N RAND RD
NORTH BARRINGTON IL
60010-1496
US

V. Phone/Fax

Practice location:
  • Phone: 847-697-7800
  • Fax:
Mailing address:
  • Phone: 847-756-2680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: