Provider Demographics
NPI:1538563523
Name:ROMANOVICH, SARAH AMANDA (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:AMANDA
Last Name:ROMANOVICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 S NAPERVILLE RD
Mailing Address - Street 2:#207
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-5892
Mailing Address - Country:US
Mailing Address - Phone:630-460-6733
Mailing Address - Fax:630-752-1222
Practice Address - Street 1:1749 S NAPERVILLE RD
Practice Address - Street 2:#207
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-5892
Practice Address - Country:US
Practice Address - Phone:630-460-6733
Practice Address - Fax:630-752-1222
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-012680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor