Healthcare Provider Details

I. General information

NPI: 1205313764
Provider Name (Legal Business Name): SARAH AHMED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 W HIGGINS RD STE 4070
SOUTH BARRINGTON IL
60010-9123
US

IV. Provider business mailing address

33 W HIGGINS RD STE 4070
SOUTH BARRINGTON IL
60010-9123
US

V. Phone/Fax

Practice location:
  • Phone: 773-226-9804
  • Fax:
Mailing address:
  • Phone: 630-297-7552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056.013942
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number1861186
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: