Individual provider Active NPI

Sandra Pinilla, M.D.

  • Family Medicine Physician
  • Bellwood, IL
National Provider Identifier
1013172139
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.124404 Issued in IL
Practice address
456 25TH Ave
Bellwood, IL 60104-1961
Phone
(708) 467-7254
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.124404 IL Primary

Addresses

Primary practice location

456 25TH Ave
Bellwood, IL 60104-1961

Mailing address

PO Box 746715
Atlanta, GA 30374-6715
Phone (708) 467-7254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000498 IL Practitioner - Family PracticePractitioner - Internal Medicine 5193990018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

18 Chicago Ave
Oak Park, IL 60302-2402
Phone (773) 253-3933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.124404ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC CurrentSince Mar 14, 2019 Accepting new patients
Gottlieb Community Health Services Corporation Past Accepting new patients

Locations

456 25th Ave
Bellwood, IL 60104
Phone (708) 467-7254

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

18 Chicago Ave
Oak Park, IL 60302
Phone (773) 253-3933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1013172139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746715",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746715",
            "telephone_number": "708-467-7254",
            "fax_number": "815-642-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 25TH AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041961",
            "telephone_number": "708-467-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINILLA",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.124404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellwood, IL

Sources for this page

Verify at the official NPI Registry.