| Ms Sandra Lynn Mikulich, APN | |
| 17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429-2082 | |
| (708) 799-8700 | |
| (708) 957-1830 | 
| Full Name | Ms Sandra Lynn Mikulich | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 17850 Kedzie Ave Ste 3250, Hazel Crest, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528216082 | NPI | - | NPPES | 
| 3160176976 | Other | IL | BLUE CROSS | 
| CM7411 | Other | IL | RAILROAD MEDICARE | 
| P00694835 | Other | IL | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209007221 (Illinois) | Secondary | 
| 363L00000X | Nurse Practitioner | 209007221 (Illinois) | Primary | 
| Entity Name | Advocate Health And Hospitals Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Sandra Lynn Mikulich, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Ms Sandra Lynn Mikulich, APN 17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429-2082 Ph: (708) 799-8700 | 
| Eziaha R Georgewill, APRN-BC, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave # A, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
| Sumar Abushaqra,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
| Tawakalitu Afolashade Babawale,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3710 Village Dr, Hazel Crest, IL 60429 Phone: 773-719-0070 | |
| Sharyl L Sadowski, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
| Ms. Rachel Cheeks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 | |
| Andrea Pawlak, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
| Naila A O'connell,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 |