Healthcare Provider Details

I. General information

NPI: 1760090047
Provider Name (Legal Business Name): SARA SCHIED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2020
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 KINGERY HWY STE 104
WILLOWBROOK IL
60527-2250
US

IV. Provider business mailing address

9735 SKOKIE BLVD
SKOKIE IL
60077-1383
US

V. Phone/Fax

Practice location:
  • Phone: 630-413-9866
  • Fax: 630-423-8269
Mailing address:
  • Phone: 847-380-8969
  • Fax: 847-972-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209021057
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: