MARY SUSAN SANDRIK


Address: 1500 South California Avenue, Chicago, IL 60608
Phone: 7735422000

MARY SUSAN SANDRIK (NPI# 1154616928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154616928
Entity Type Individual
Full Name MARY SUSAN SANDRIK
Credential MSN, RN, CWOCN
Practice Address 1500 South California Avenue
Chicago
IL 60608
Mailing Address 2248 Grove Ave
Berwyn
IL 60402-2201
Practice Telephone 7735422000
Practice Fax Number 7732575205
Mailing Telephone 7087887340
Enumeration Date 2011-06-09
Last Update Date 2011-06-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 309.000463 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 SOUTH CALIFORNIA AVENUE
City CHICAGO
State IL
Zip Code 60608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942477658 Mir Ashad Ali Yadullahi Psychiatry & Neurology 1500 South California Avenue, Os-551, Chicago, IL 60608-1782 2008-05-12
1235663071 Sarah Khan Internal Medicine 1500 South California Avenue, Chicago, IL 60608 2017-04-19
1922448018 Thomas George Internal Medicine 1500 South California Avenue, Department of Medicine, Chicago, IL 60608-1729 2013-07-03
1720343072 Srikanth Markapuram Internal Medicine 1500 South California Avenue, Chicago, IL 60608 2012-07-11
1861780603 Emem Inyang Adolf-ubokudom Internal Medicine 1500 South California Avenue, Chicago, IL 60608-1797 2011-07-14
1184919789 Crystal Balfour Psychologist 1500 South California Avenue, Nr 553, Chicago, IL 60608 2011-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
Find all providers in zip 60608

Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639547417 Virginia Ann Baker Clinical Nurse Specialist 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 2015-09-09
1245615947 Gabriel Oluwakotanmi Clinical Nurse Specialist 8056 S Harper Ave, Chicago, IL 60619-4637 2015-07-23
1831435189 Rena Thompson Clinical Nurse Specialist 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 2012-12-13
1225527641 Kerstin Litwin Clinical Nurse Specialist 5145 N California Ave, Chicago, IL 60625-3687 2018-05-02
1952778318 Ana Bedon Clinical Nurse Specialist 836 W Wellington Ave, Chicago, IL 60657-5147 2015-09-01
1760719074 Mary H Zeigler Clinical Nurse Specialist 345 E Superior St, Chicago, IL 60611-2654 2009-11-06
1932376043 Jennifer L Clark Clinical Nurse Specialist 5841 S Maryland Ave, Chicago, IL 60637-1447 2008-05-08
1235302167 Debra Ann Walczak Clinical Nurse Specialist 1740 W Taylor St, Chicago, IL 60612-7232 2008-04-11
1497942387 Sue Urbanski Clinical Nurse Specialist 5841 S Maryland Ave, Chicago, IL 60637-1447 2007-09-25
1073705398 Maria Barnes Clinical Nurse Specialist 5841 S Maryland Ave, Chicago, IL 60637-1447 2007-08-10
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60608

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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