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NPI Code Detail

MEDICARE: MISS KATIE NICOLE SARAU M.A.

MEDICARE:  MISS KATIE NICOLE SARAU  M.A.
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1578807335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATIE NICOLE SARAU M.A.
Provider Business Mailing Address
First Line : 215 E CHESTNUT ST
Second Line : #703
City : CHICAGO
State : IL
Zip : 60611-2359
Country : US
Telephone Number : 847-977-1739
Fax Number : 312-526-3495
Provider Business Practice Location Address
First Line : 215 E CHESTNUT ST
Second Line : #703
City : CHICAGO
State : IL
Zip : 60611-2359
Country : US
Telephone Number : 847-977-1739
Fax Number : 312-526-3495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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Directions to “ MISS KATIE NICOLE SARAU M.A.” Practice Location

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