Provider Demographics
NPI:1689485575
Name:SYED, SARAH J (MS)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:J
Last Name:SYED
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1838 CHURCHILL LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1303
Mailing Address - Country:US
Mailing Address - Phone:331-643-5180
Mailing Address - Fax:
Practice Address - Street 1:1838 CHURCHILL LN
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1303
Practice Address - Country:US
Practice Address - Phone:331-643-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program