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NPI Code Detail

MEDICARE: SARA ASHLEY CONWAY

MEDICARE: SARA ASHLEY CONWAY
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
11041C0700XClinical Social Worker149.030377IL

General Provider Information

NPI Number : 1578427274
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA ASHLEY CONWAY
Provider Business Mailing Address
First Line : 330 W TERRA COTTA AVE
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-3552
Country : US
Telephone Number : 815-382-9691
Fax Number :
Provider Business Practice Location Address
First Line : 330 W TERRA COTTA AVE STE A
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-3552
Country : US
Telephone Number : 815-382-9691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/17/2025

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Directions to “ SARA ASHLEY CONWAY ” Practice Location

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