Healthcare Provider Details

I. General information

NPI: 1831000561
Provider Name (Legal Business Name): SARA DON BAILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N WASHINGTON ST
NAPERVILLE IL
60540-4558
US

IV. Provider business mailing address

121 N WASHINGTON ST
NAPERVILLE IL
60540-4558
US

V. Phone/Fax

Practice location:
  • Phone: 630-358-9482
  • Fax:
Mailing address:
  • Phone: 630-358-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number208-011668
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: