Provider Demographics
NPI:1679849871
Name:ZIELSDORF, SARAH JOY (MD, MS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:JOY
Last Name:ZIELSDORF
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:1401 LAKEWOOD DR A
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-3352
Mailing Address - Country:US
Mailing Address - Phone:815-942-6323
Mailing Address - Fax:815-942-6423
Practice Address - Street 1:2160 S 1ST AVE RM 7609
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-8757
Practice Address - Fax:708-216-1259
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ILBF 4649604-A 971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine