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General NPI Number Information
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NPI Number | 1770613630
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Entity Type | Individual
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Provider Name | SARAH K CONWAY MD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 450 WEST HIGHWAY 22 GOOD SHEPHERD HOSPITAL
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 847-842-4191
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Fax | 847-842-4804
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Provider Business Mailing Address
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Address Line | 767 E ILLINOIS RD
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City | LAKE FOREST
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State | IL
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Zip | 60045
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Country | US
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Telephone | 847-212-0224
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | IL
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