| Sara Suzanne Kim, | |
|
841 Black Walnut Dr, Sugar Grove, IL 60554-9277 | |
| (630) 802-4308 | |
| Not Available |
| Full Name | Sara Suzanne Kim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 841 Black Walnut Dr, Sugar Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578208807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.025100 (Illinois) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Suzanne Kim, 841 Black Walnut Dr, Sugar Grove, IL 60554-9277 Ph: (630) 802-6612 | Sara Suzanne Kim, 841 Black Walnut Dr, Sugar Grove, IL 60554-9277 Ph: (630) 802-4308 |
Mrs. Ashley Reeder, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 472 Route 47, Sugar Grove, IL 60554 Phone: 630-466-6000 Fax: 630-466-6001 | |
Kenneth Laput, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 Route 47, Sugar Grove, IL 60554 Phone: 630-466-6000 Fax: 630-466-6001 | |
Mrs. Lilibeth Sumague Pilario, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 Route 47, Sugar Grove, IL 60554 Phone: 630-466-6000 Fax: 630-466-6001 | |
Patricia M Oie, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 Route 47, Sugar Grove, IL 60554 Phone: 630-466-6000 Fax: 630-466-6001 | |
Mrs. Rebecca Elizabeth Werth, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43w526 Us Highway 30, Sugar Grove, IL 60554 Phone: 630-466-0800 Fax: 630-466-1336 | |
Anne Dougherty, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 Route 47, Sugar Grove, IL 60554 Phone: 630-466-6000 |