Healthcare Provider Details

I. General information

NPI: 1073636353
Provider Name (Legal Business Name): SARA'S PEDIATRIC CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 S EAST AVE
OAK PARK IL
60304-2105
US

IV. Provider business mailing address

1117 S EAST AVE
OAK PARK IL
60304-2105
US

V. Phone/Fax

Practice location:
  • Phone: 708-844-8889
  • Fax: 708-848-7793
Mailing address:
  • Phone: 708-844-8889
  • Fax: 708-848-7793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. SARA HOLLY STERN
Title or Position: PRESIDENT
Credential: OTR.L
Phone: 708-848-8893