| Doctor Name: | DR. SARA DICKIE |
| NPI Number: | 1063659001 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036.123528 |
| Business Practice Address: | 1450 Busch Pkwy Suite 145 Buffalo Grove, IL - 600894541 |
| Business Phone Number: | 8479208122 |
| Business Fax Number: | 8474995501 |
| Mailing Address: | 9711 Skokie Blvd, Suite J SKOKIE |
| State: | IL |
| Postal Code: | 600771384 |
| Phone Number: | 8476759711 |
| Fax Number: | 8476759714 |
| NPI Enumeration Date: | 01/13/2009 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 036.123528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |