Individual provider Active NPI

Sarah H. Venamore, P.A.-C

  • Physician Assistant
  • Elk Grove Village, IL
National Provider Identifier
1285830851
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-000748 Issued in IL
Practice address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone
(847) 437-5500
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085-000748 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Mailing address

667 Carriage Way
Deerfield, IL 60015-4536
Phone (847) 607-8519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000530 IL Practitioner - Physician Assistant 7719052786 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-000748ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Aug 28, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 28, 2017 Accepting new patients
Premise Health of Illinois Medical, PC CurrentSince Jan 17, 2016 Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Jan 17, 2016 Accepting new patients
Emergency Healthcare Physicians, LTD. Past Accepting new patients
Mea-Aea Kenosha SC Past Accepting new patients
Premise Health of Illinois Medical PC Past Accepting new patients

Locations

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

16906 Collection Ctr Dr
Chicago, IL 60693

108 Wilmot Rd
Deerfield, IL 60015
Phone (847) 580-0000

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

5500 Maryland Way
Ste 200
Brentwood, TN 37027
Phone (615) 577-4927

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1285830851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 CARRIAGE WAY",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154536",
            "telephone_number": "847-607-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-437-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENAMORE",
        "first_name": "SARAH",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-000748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.