Provider Demographics
NPI:1053695528
Name:MCFEGGAN, SARAH E
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:MCFEGGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10170 METALMARK LN
Mailing Address - Street 2:UNIT 2
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-5676
Mailing Address - Country:US
Mailing Address - Phone:815-566-1248
Mailing Address - Fax:
Practice Address - Street 1:10170 METALMARK LN
Practice Address - Street 2:UNIT 2
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-5676
Practice Address - Country:US
Practice Address - Phone:815-566-1248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.007441235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist