Individual provider Active NPI

Sandra Al-Sakkal, MD

  • Family Medicine Physician
  • Woodridge, IL
National Provider Identifier
1023705233
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.179129 Issued in IL
Practice address
2363 63Rd St
Woodridge, IL 60517-1300
Phone
(630) 716-7510
NPI assigned
Apr 18, 2023
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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 036.179129 IL Primary

Addresses

Primary practice location

2363 63Rd St
Woodridge, IL 60517-1300

Mailing address

2363 63Rd St
Woodridge, IL 60517-1300
Phone (630) 716-7510

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
I20230810001626 IL Order and Referring Only - Family PracticePractitioner - Family Practice 7719349505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.179129ILMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: salsakkal1888466@adventhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1023705233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171300",
            "telephone_number": "630-716-7510",
            "fax_number": "630-312-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 63RD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171300",
            "telephone_number": "630-716-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SAKKAL",
        "first_name": "SANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.179129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

Verify at the official NPI Registry.