Healthcare Provider Details

I. General information

NPI: 1932016243
Provider Name (Legal Business Name): SARA ALLEE WHEELER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 LANGLEY CIR
GLENVIEW IL
60026-7736
US

IV. Provider business mailing address

2346 W TOUHY AVE APT 2F
CHICAGO IL
60645-3439
US

V. Phone/Fax

Practice location:
  • Phone: 224-490-2952
  • Fax:
Mailing address:
  • Phone: 312-480-5512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: