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NPI Code Detail

MEDICARE: SARA FLEMING MD

MEDICARE: SARA FLEMING MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036096754IL

Other Identifiers

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

General Provider Information

NPI Number : 1972575157
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA FLEMING MD
Provider Business Mailing Address
First Line : PO BOX 15785
Second Line :
City : LOVES PARK
State : IL
Zip : 61132-5785
Country : US
Telephone Number : 815-654-7772
Fax Number : 815-654-7009
Provider Business Practice Location Address
First Line : 1401 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61104-2315
Country : US
Telephone Number : 815-489-4267
Fax Number : 815-966-3967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 07/19/2019

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