| Jeffrey Sanctorum, ARNP | |
|
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
| (888) 824-0200 | |
| Not Available |
| Full Name | Jeffrey Sanctorum |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 5841 S Maryland Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184305716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN60975551 (Washington) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 209035637 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Washington Medical Ctr | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Association Of University Physicians | 0446162697 | 3484 |
| Entity Name | The Association of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Sanctorum, ARNP 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 Ph: Not Available | Jeffrey Sanctorum, ARNP 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200 |
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