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NPI Code Detail

MEDICARE: DR. SARA ANN KRITZER M.D.

MEDICARE: DR. SARA ANN KRITZER M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology Physician036.132306IL

General Provider Information

NPI Number : 1548495211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA ANN KRITZER M.D.
Provider Business Mailing Address
First Line : 200 S MICHIGAN AVE STE 1550
Second Line :
City : CHICAGO
State : IL
Zip : 60604-2424
Country : US
Telephone Number : 440-840-5333
Fax Number :
Provider Business Practice Location Address
First Line : 200 S MICHIGAN AVE STE 1550
Second Line :
City : CHICAGO
State : IL
Zip : 60604-2424
Country : US
Telephone Number : 440-840-5333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2009
Last Update Date : 06/11/2024

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