Provider Demographics
NPI:1538244728
Name:KRESSER, SARA (MSW)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:KRESSER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 PARKTRAIL CT
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-2150
Mailing Address - Country:US
Mailing Address - Phone:847-241-3658
Mailing Address - Fax:847-214-3669
Practice Address - Street 1:561 TOLLGATE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-9316
Practice Address - Country:US
Practice Address - Phone:847-214-3658
Practice Address - Fax:847-214-3669
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213072Medicare ID - Type Unspecified