SARA E THAI

DANVILLE, IL
NPI1235524240
Former NameSARA E COOK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005416)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: IL  085.005416)
Enumeration Date2015-04-06
Last Update Date2019-08-14
Business Address
SARA E THAI PA
311 W FAIRCHILD ST
DANVILLE, IL 61832-3876
Phone number: 217-431-7600
Mailing Address
SARA E THAI PA
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-383-6941