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NPI 1013816206

NPI 1013816206 : SARA CALDWELL : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1013816206
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    Entity Type          |    Individual 
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    Provider Name        |    SARA CALDWELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2026
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    Last Update Date     |    11/03/2026
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Provider Practice Location Address
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    Address Line         |    7447 N CLARK ST STE B107 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60626-1619
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    Country              |    US
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    Telephone            |    224-273-6590
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5200 OAKTON ST APT 107 
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    City                 |    SKOKIE
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    State                |    IL
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    Zip                  |    60077-3624
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    Country              |    US
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    Telephone            |    773-988-8697
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    
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