MEDICARE: SARAH E STREDNEY PT

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	11-03491	KS
2	225100000X	Physical Therapist	070.016832	IL

General Provider Information

NPI Number	:	1689653719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH E STREDNEY PT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:	630-296-2223
Fax Number	:	630-759-9510

Provider Business Practice Location Address
First Line	:	7511 LEMONT RD
Second Line	:	SUITE 204
City	:	DARIEN
State	:	IL
Zip	:	60561-4394
Country	:	US
Telephone Number	:	630-985-4010
Fax Number	:	630-985-4056

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	02/19/2015

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