MEDICARE: DR. SARAH SHEIK DMD

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	1223G0001X	General Practice Dentistry	019034730	IL

General Provider Information

NPI Number	:	1982443834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH SHEIK DMD

Provider Business Mailing Address
First Line	:	639 W BRIAR PL APT 2W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-9449
Country	:	US
Telephone Number	:	347-554-3207
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 E WASHINGTON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1708
Country	:	US
Telephone Number	:	773-692-5401
Fax Number	:

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

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	05/21/2024

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