| Sandra Lee Mulcrone, CNM,APRN,MS | |
|
15300 West Ave Ste 120, Orland Park, IL 60462-4508 | |
| (708) 590-5304 | |
| (708) 590-5308 |
| Full Name | Sandra Lee Mulcrone |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 15300 West Ave Ste 120, Orland Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952317786 | NPI | - | NPPES |
| 41.254942 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209001535 (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 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Esperanza Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124187125 PECOS PAC ID: 2961453105 Enrollment ID: O20050204000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Lee Mulcrone, CNM,APRN,MS 15300 West Ave Ste 120, Orland Park, IL 60462-4508 Ph: (708) 590-5304 | Sandra Lee Mulcrone, CNM,APRN,MS 15300 West Ave Ste 120, Orland Park, IL 60462-4508 Ph: (708) 590-5304 |
Lisa Abu-samra, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 17047 La Grange Rd, Orland Park, IL 60487 Phone: 815-300-7764 |