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NPI Code Detail

MEDICARE: SARAH J YARBROUGH PA

MEDICARE:   SARAH J YARBROUGH  PA
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
1363A00000XPhysician Assistant1810-023WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2001OTHERWIBCBS

General Provider Information

NPI Number : 1881642031
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH J YARBROUGH PA
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 2424 S 90TH ST STE 200
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-2455
Country : US
Telephone Number : 414-328-8777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 02/17/2026

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Directions to “ SARAH J YARBROUGH PA” Practice Location

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