# INDEPENDENT PRACTICE ALLLIANCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194654962
- **Authorized official:** MRS. ALEXANDRIA SANDOVAL (MANAGING DIRECTOR)
- **Authorized official phone:** (630) 962-4776

## Contact information

- **Practice address:** 5140 DOUGLAS RD, OSWEGO, IL 60543-9492
- **Practice address phone:** (630) 962-4776
- **Practice address fax:** (630) 277-9837
- **Mailing address:** 5140 DOUGLAS RD, OSWEGO, IL 60543-9492
- **Mailing address phone:** (630) 962-4776
- **Mailing address fax:** (630) 277-9837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026