| Deidra Sanford, | |
|
9119 S Exchange Ave, Chicago, IL 60617-4225 | |
| (773) 299-4616 | |
| Not Available |
| Full Name | Deidra Sanford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 9119 S Exchange Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386106649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.018992 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chicago Family Health Center Inc | 6608765417 | 27 |
| Entity Name | The Board of Trustees of the University of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Chicago Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266337 PECOS PAC ID: 6608765417 Enrollment ID: O20040311000364 |
| Entity Name | Vpa PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189 |
| Entity Name | Oak Street Health Physicians Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
| Entity Name | Doctors on Site, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720410483 PECOS PAC ID: 8820223340 Enrollment ID: O20131108000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidra Sanford, 9119 S Exchange Ave, Chicago, IL 60617-4225 Ph: Not Available | Deidra Sanford, 9119 S Exchange Ave, Chicago, IL 60617-4225 Ph: (773) 299-4616 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 |
Cynthia Phillips, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2003 W Fulton St Ste 505, Chicago, IL 60612 Phone: 312-243-2223 |
Jessica Lauren Offenbach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 |
Ms. Jenny Ko Lee, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 W Grand Ave Ste B, Chicago, IL 60612 Phone: 708-630-1534 Fax: 888-517-8619 |
Stacy Ervin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 |
Mr. Joshua Bryan Dunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 W Harrison St, Chicago, IL 60607 Phone: 312-942-5904 |