MEDICARE: DR. SARAH LLORENS PT, DPT

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
1	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1194335984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH LLORENS PT, DPT

Provider Business Mailing Address
First Line	:	342 DORCHESTER LN
Second Line	:
City	:	GRAYSLAKE
State	:	IL
Zip	:	60030-3429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3228 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-1602
Country	:	US
Telephone Number	:	773-857-0689
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2020
Last Update Date	:	12/19/2023

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