MARY SUSAN SANDRIK (NPI# 1154616928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154616928 |
| Entity Type | Individual |
| Full Name | MARY SUSAN SANDRIK |
| Credential | MSN, RN, CWOCN |
| Practice Address |
1500 South California Avenue Chicago IL 60608 |
| Mailing Address |
2248 Grove Ave Berwyn IL 60402-2201 |
| Practice Telephone | 7735422000 |
| Practice Fax Number | 7732575205 |
| Mailing Telephone | 7087887340 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 309.000463 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 SOUTH CALIFORNIA AVENUE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942477658 | Mir Ashad Ali Yadullahi | Psychiatry & Neurology | 1500 South California Avenue, Os-551, Chicago, IL 60608-1782 | 2008-05-12 |
| 1235663071 | Sarah Khan | Internal Medicine | 1500 South California Avenue, Chicago, IL 60608 | 2017-04-19 |
| 1922448018 | Thomas George | Internal Medicine | 1500 South California Avenue, Department of Medicine, Chicago, IL 60608-1729 | 2013-07-03 |
| 1720343072 | Srikanth Markapuram | Internal Medicine | 1500 South California Avenue, Chicago, IL 60608 | 2012-07-11 |
| 1861780603 | Emem Inyang Adolf-ubokudom | Internal Medicine | 1500 South California Avenue, Chicago, IL 60608-1797 | 2011-07-14 |
| 1184919789 | Crystal Balfour | Psychologist | 1500 South California Avenue, Nr 553, Chicago, IL 60608 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639547417 | Virginia Ann Baker | Clinical Nurse Specialist | 5758 S Maryland Ave # Mc9024, Chicago, IL 60637-1426 | 2015-09-09 |
| 1245615947 | Gabriel Oluwakotanmi | Clinical Nurse Specialist | 8056 S Harper Ave, Chicago, IL 60619-4637 | 2015-07-23 |
| 1831435189 | Rena Thompson | Clinical Nurse Specialist | 7537 N Bell Ave, Suite 1, Chicago, IL 60645-2484 | 2012-12-13 |
| 1225527641 | Kerstin Litwin | Clinical Nurse Specialist | 5145 N California Ave, Chicago, IL 60625-3687 | 2018-05-02 |
| 1952778318 | Ana Bedon | Clinical Nurse Specialist | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2015-09-01 |
| 1760719074 | Mary H Zeigler | Clinical Nurse Specialist | 345 E Superior St, Chicago, IL 60611-2654 | 2009-11-06 |
| 1932376043 | Jennifer L Clark | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-05-08 |
| 1235302167 | Debra Ann Walczak | Clinical Nurse Specialist | 1740 W Taylor St, Chicago, IL 60612-7232 | 2008-04-11 |
| 1497942387 | Sue Urbanski | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2007-09-25 |
| 1073705398 | Maria Barnes | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2007-08-10 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.