Basic Information
| Provider Information | |||||||||
| NPI: | 1073926929 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MESSMER | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 840 S WOOD STREET | ||||||||
| Address2: | ROOM 440 CLINICAL SCIENCES NORTH BUILDING | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129964242 | ||||||||
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| Practice Location | |||||||||
| Address1: | 840 S WOOD ST | ||||||||
| Address2: | ROOM 440 CLINICAL SCIENCES NORTH BUILDING | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129964242 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2014 | ||||||||
| LastUpdateDate: | 07/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 036.145844 | IL | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 036.145844 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | L-259415 | MA | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.