MEDICARE: ASHLEY SARABIA CPHT

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	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1881416592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY SARABIA CPHT

Provider Business Mailing Address
First Line	:	1005 E CAMP MCDONALD RD
Second Line	:
City	:	PROSPECT HEIGHTS
State	:	IL
Zip	:	60070-2605
Country	:	US
Telephone Number	:	224-392-2574
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 W ALGONQUIN RD
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-5401
Country	:	US
Telephone Number	:	847-621-2103
Fax Number	:

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

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	10/25/2024

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Directions to “ ASHLEY SARABIA CPHT” Practice Location

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