| Sandra M Ndiaye, DO | |
|
1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | |
| (815) 300-1100 | |
| (815) 300-7049 |
| Full Name | Sandra M Ndiaye |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1900 Silver Cross Blvd, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215236963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 02007537A (Indiana) | Secondary |
| 208000000X | Pediatrics | 036134339 (Illinois) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra M Ndiaye, DO 1900 Silver Cross Blvd, Pediatrics Office #3116, New Lenox, IL 60451-9509 Ph: (815) 300-1100 | Sandra M Ndiaye, DO 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 Ph: (815) 300-1100 |
Jonette P Belicena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1870 Silver Cross Blvd Ste 240, New Lenox, IL 60451 Phone: 815-514-2600 Fax: 815-463-0964 | |
Paul Tortoriello, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1870 Silver Cross Blvd Ste 240, New Lenox, IL 60451 Phone: 815-514-2600 Fax: 815-463-0964 | |
Dr. Mourice S Nemri, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Batson Ct, Suite 106, New Lenox, IL 60451 Phone: 815-463-9747 Fax: 815-463-9749 | |
Dr. Sujal V Panchal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Batson Ct, Suite 106, New Lenox, IL 60451 Phone: 815-463-9747 Fax: 815-463-9749 | |
Dr. Akilah L Cook, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 W Laraway Rd Ste 230, New Lenox, IL 60451 Phone: 815-934-8444 Fax: 815-717-7229 |