Mrs. Sara Ann Dumich
Family Doctor Family Doctor - Sports Medicine
2300 S 1st St
Champaign
, Illinois 61820-7661
Mrs. Sara Ann Dumich
Family Doctor Family Doctor - Sports Medicine
2300 S 1st St
Champaign
, Illinois 61820-7661
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Mrs. Sara Ann Dumich
- 611 W Park St Fapc
- Urbana, IL
- Zip : 61801
- Phone :
Second Address
- Mrs. Sara Ann Dumich
- 2300 S 1st St
- Champaign, IL
- Zip : 61820-7661
- Fax : (217) 383-9694
- Phone : (217) 383-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301107540 | MI |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036141300 | IL |
| N | 207QS0010X | Family Doctor - Sports Medicine | 4301107540 | MI |
National Provider Identifier
| NPI | 1093071094 |
|---|---|
| Provider Name | Mrs. Sara Ann Dumich |
| First Address | Urbana, IL 61801 |
| Second Address | Champaign, IL 61820-7661 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2012 |
| Last Update Date | 29/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.