Healthcare Provider Details

I. General information

NPI: 1407273709
Provider Name (Legal Business Name): SARAH C. GRESK APN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 W INDUSTRIAL DR STE 236
ELMHURST IL
60126-1610
US

IV. Provider business mailing address

188 W INDUSTRIAL DR STE 236
ELMHURST IL
60126-1610
US

V. Phone/Fax

Practice location:
  • Phone: 630-755-5274
  • Fax:
Mailing address:
  • Phone: 630-755-5274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number209011363
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209011363
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: