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Search › Illinois › 163W00000X

Sara Douglas

NPI 1205777810 · on the registry since 2026

Practice

Address
515 N State St Fl 14
Chicago, IL 60654
Phone
(816) 387-3767
Organisation at this address
League Corp.
Florence Wellness Of Illinois Pc
Chicago Cosmetic Surgery And Dermatology Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois