Individual
ELIZABETH J SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2331 W CHICAGO AVE, CHICAGO, IL 60622-4723
(773) 772-7858
(773) 276-6668
Mailing address
PO BOX 3603, OAK BROOK, IL 60522-3603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.015100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13936022
CAQH
IL
05
—
209-015100
—
IL
Enumeration date
11/07/2016
Last updated
08/09/2017
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