SARA K ZIDLICKY (NPI# 1306026935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306026935 |
| Entity Type | Individual |
| Full Name | SARA K ZIDLICKY |
| Credential | PA-C |
| Practice Address |
290 Springfield Dr Suite 290 Bloomingdale IL 60108-2214 |
| Practice Telephone | 6308939660 |
| Practice Fax Number | 6308939668 |
| Mailing Telephone | 6308939660 |
| Mailing Fax Number | 6308939668 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085003137 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN (INDIVIDUAL) | F400175927 | 01 |
| IL | MEDICARE PTAN (GROUP) | 920540 | 01 |
| IL | LICENSE | 085003137 | 01 |
| Street Address |
290 SPRINGFIELD DR SUITE 290 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528028784 | Steven Frederick Tempel | Dentist | 290 Springfield Dr, 190, Bloomingdale, IL 60108-2214 | 2006-03-23 |
| 1013565084 | Zachary Edsey | Dentist | 290 Springfield Dr, Bloomingdale, IL 60108-2214 | 2019-09-03 |
| 1740646660 | Pain Relief Treatment Centers of Bloomingdale Inc | Chiropractor | 290 Springfield Dr, Suite 255, Bloomingdale, IL 60108-2214 | 2016-01-07 |
| 1821487083 | Chad Franche | Physical Therapist | 290 Springfield Dr, Ste 265, Bloomingdale, IL 60108-2214 | 2015-01-12 |
| 1750789038 | Kristin Stromberg | Specialist/Technologist | 290 Springfield Dr, Suite 255, Bloomingdale, IL 60108-2214 | 2014-12-18 |
| 1396141313 | Marriage and Family Solutions LLC | Marriage & Family Therapist | 290 Springfield Dr, Suite 140, Bloomingdale, IL 60108-2214 | 2014-11-19 |
| 1720497910 | Bloomingdale Sleep Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 290 Springfield Dr, Suite 160, Bloomingdale, IL 60108-2214 | 2014-08-13 |
| 1285985549 | Stratford Dental PC | Durable Medical Equipment & Medical Supplies | 290 Springfield Dr, Suite #130, Bloomingdale, IL 60108-2214 | 2012-09-27 |
| 1093078735 | Christopher Daniel Matesi | Dentist | 290 Springfield Dr, Suite 280, Bloomingdale, IL 60108-2214 | 2012-06-18 |
| 1023327624 | Neha R Soni | Physical Therapist | 290 Springfield Dr, Suite265, Bloomingdale, IL 60108-2214 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
| 1629020672 | Alicia Ann Johnson | Physician Assistant | 121 Fairfield Way Ste 207, Ste 207, Bloomingdale, IL 60108-1559 | 2006-05-17 |
| 1255962445 | Kevin Joseph Serrano | Physician Assistant | 245 S Gary Ave Lowr Level, Bloomingdale, IL 60108-2228 | 2020-01-28 |
| 1790266971 | Benjamin Hodges | Physician Assistant | 245 S Gary Ave, Bloomingdale, IL 60108-2228 | 2018-08-24 |
| 1386092286 | Mayya Woodall | Physician Assistant | 211 E Army Trail Rd, Bloomingdale, IL 60108-2105 | 2016-06-01 |
| 1275909392 | Frederick Knight Hayden Jr. | Physician Assistant | 220 Springfield Dr, Bloomingdale, IL 60108 | 2015-08-12 |
| 1184951469 | Home Care Physicians, Inc. | Physician Assistant | 290 Springfield Dr, Suite 225, Bloomingdale, IL 60108-2214 | 2009-11-07 |
| 1568699452 | Uzma Nosheen | Physician Assistant | 121 Fairfield Way Ste 207, Bloomingdale, IL 60108-1559 | 2009-06-17 |
| 1033384961 | Gurvinder S Herlihy | Physician Assistant | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.