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NPI Code Detail

MEDICARE: MRS. SARA J BEALERT PA

MEDICARE:  MRS. SARA J BEALERT  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant085-002258IL

General Provider Information

NPI Number : 1134115330
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARA J BEALERT PA
Provider Business Mailing Address
First Line : 1870 W GALENA BLVD
Second Line :
City : AURORA
State : IL
Zip : 60506-4356
Country : US
Telephone Number : 630-859-6700
Fax Number :
Provider Business Practice Location Address
First Line : 4100 HEALTHWAY DR
Second Line :
City : AURORA
State : IL
Zip : 60504-4163
Country : US
Telephone Number : 630-851-3105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 08/31/2011

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Directions to “ MRS. SARA J BEALERT PA” Practice Location

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