SUNIL SAM


Address: 326 W 64th St, Chicago, IL 60621-3114
Phone: 7739623900

SUNIL SAM (NPI# 1366934176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366934176
Entity Type Individual
Full Name SUNIL SAM
Credential APN
Practice Address 326 W 64th St
Chicago
IL 60621-3114
Mailing Address 137 S Windham Ln
Bloomingdale
IL 60108-2534
Practice Telephone 7739623900
Mailing Telephone 6303030383
Enumeration Date 2018-06-06
Last Update Date 2018-06-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
2017037640 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 326 W 64TH ST
City CHICAGO
State IL
Zip Code 60621-3114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992704381 James Edward Beckett Family Medicine 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 2005-07-18
1588262422 Hailee Goodale Dietitian, Registered 326 W 64th St, Chicago, IL 60621-3146 2020-10-13
1619575560 Iveta Janusauskaite Dietitian, Registered 326 W 64th St, Chicago, IL 60621-3114 2020-10-13
1649838004 St Bernard Hospital & Health Care Center Radiology 326 W 64th St, Chicago, IL 60621-3114 2019-05-31
1144887738 Chindika Healthcare Inc. Internal Medicine 326 W 64th St, Chicago, IL 60621-3114 2019-05-20
1467922005 St Bernard Hospital & Health Care Center Pathology 326 W 64th St, Chicago, IL 60621-3114 2018-11-27
1073003463 Jessica Lynn Frith Nurse Practitioner 326 W 64th St, Chicago, IL 60621-3146 2018-05-11
1588168934 Kaitlyn Eisenberg Dietitian, Registered 326 W 64th St, Chicago, IL 60621-3114 2018-03-21
1538675699 Dominique Yvette Murry Nurse Practitioner 326 W 64th St, Chicago, IL 60621-3114 2017-12-27
1134663891 Family Guidance Centers, Inc. Clinic/Center 326 W 64th St, Suite 305, Chicago, IL 60621-3114 2016-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740803394 Conrad Care Incorporated Home Health 142 W . 62nd Street, Suite 203, Chicago, IL 60621 2020-05-18
1275068876 St. Bernard Hospital Ambulatory Care Clinic Clinic/Center 6307 S Stewart, Chicago, IL 60621 2017-04-21
1063954519 Created2careltd Secured Medical Transport (VAN) 5632 S. Emerald Ave, Chicago, IL 60621 2016-11-15
1932566023 Windycitywheelchairservice Technician, Other 6427 S Parnell Ave, Chicago, IL 60621 2016-01-21
1194127787 Aaa-1 Transportation Secured Medical Transport (VAN) 5740 S Emerald Ave, Chicago, IL 60621 2014-09-25
1871893859 Anuj Jain Family Medicine 6508 S Halsted Street, Chicago, IL 60621 2010-10-25
1750538104 Adolfo M. Maglaya, M.d., S.c. Internal Medicine 326 W. 64th St., Chicago, IL 60621 2008-08-27
1083882997 Englewood Satellite Senior Center Clinic/Center 657 W. 63rd St, Chicago, IL 60621 2008-02-13
1295952059 Carrington Radiology, S.c. Radiology St. Bernard Hospital, 326 W. 64th Street, 2nd Floor (radiology Department), Chicago, IL 60621 2007-04-20
1851427660 Dilipkumar Parikh Md Internal Medicine 324 West 64th St, Suite 216, Chicago, IL 60621 2007-02-26
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114549755 Maria Andreea Bordeianu Nurse Practitioner 6050 N California Ave, Chicago, IL 60659-3916 2020-05-16
1114574886 Hyde Park Mental Wellness Nurse Practitioner 1525 E 55th St Ste 205, Chicago, IL 60615-5584 2019-08-19
1689232522 Sarah Ball Schrock Nurse Practitioner 3310 W Division St, Chicago, IL 60651-2301 2019-06-05
1982168407 Richardson Psychiatric Nurse Practitioner 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 2019-01-29
1386117232 Prudent Alliance for Healthcare, LLC Nurse Practitioner 6159 W Eddy St, Chicago, IL 60634-4122 2019-01-03
1770068421 Gian Bonador Nurse Practitioner 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 2018-09-28
1790115293 Stacey Marie Meyers Nurse Practitioner 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 2013-11-19
1326385824 Deborah Francine Bump Nurse Practitioner 6918 S Euclid Ave, Chicago, IL 60649-1512 2013-01-03
1104058221 Lester Eugene Lamee Jr. Nurse Practitioner 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 2009-08-24
1720003577 Janice E Stern Nurse Practitioner 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 2006-07-13
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Competitor

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City CHICAGO
Zip Code 60621

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Dataset Information

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.

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