| Ethan Jose Eder Sanchez, MSN, RN, FNP-BC | |
|
1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327 | |
| (773) 248-2255 | |
| (773) 304-4143 |
| Full Name | Ethan Jose Eder Sanchez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1203 W Augusta Blvd Ste 1, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922703487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10068 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209027034 (Illinois) | Primary |
| Entity Name | Work & Pillay Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013551472 PECOS PAC ID: 7012333404 Enrollment ID: O20200817000447 |
| Entity Name | Bespoke Psychiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Jose Eder Sanchez, MSN, RN, FNP-BC 735 Chicago Ave Unit 243, Evanston, IL 60202-2378 Ph: (409) 225-4321 | Ethan Jose Eder Sanchez, MSN, RN, FNP-BC 1203 W Augusta Blvd Ste 1, Chicago, IL 60642-4327 Ph: (773) 248-2255 |
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 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Mindy Unrau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612 Phone: 708-630-1534 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |