Provider Demographics
NPI:1174893077
Name:ECKER, SARAH A (PT, DPT, PRPC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:A
Last Name:ECKER
Suffix:
Gender:F
Credentials:PT, DPT, PRPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 N RAVENSWOOD AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2434
Mailing Address - Country:US
Mailing Address - Phone:917-579-8250
Mailing Address - Fax:
Practice Address - Street 1:4001 N RAVENSWOOD AVE STE 402
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2434
Practice Address - Country:US
Practice Address - Phone:917-579-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.023237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist