Sinamis Idrei, MD

Individual provider Active NPI Internal Medicine Physician · Waterman, IL

NPI 1023796356 · NPPES record last updated Sep 4, 2026

Key facts

NPI
1023796356
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
036179525 (IL)
Practice address
10003 US-30
Northwestern Medicine
Waterman, IL 60056
Phone
(815) 264-3484
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.082154ILMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: sidrei647472@direct.ochin.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 125.082154 IL
Internal Medicine Physician 207R00000X 036179525 IL Yes

Addresses

Primary practice location

10003 US-30
Northwestern Medicine
Waterman, IL 60056

Mailing address

10003 US Route 30
Waterman, IL 60556-7128
Phone (815) 264-3484

Other providers in Waterman, IL

All providers in Waterman, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.