Sandra J Hillegonds

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.011781 Issued in IL

Practice address

127 E. Crawford Street
Peotone, IL 60468

Phone

(708) 258-6300

Fax

(708) 258-6725

NPI assigned

Oct 22, 2014

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• John R Deforest D.O. S.C.

  • Family Medicine Physician
  • Beecher, IL
  • NPI 1144241407
  Medicare reassignment NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1245635085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S DIXIE HWY",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013668",
            "telephone_number": "708-258-6300",
            "fax_number": "708-258-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E. CRAWFORD STREET",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "60468",
            "telephone_number": "708-258-6300",
            "fax_number": "708-258-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEGONDS",
        "first_name": "SANDRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merridy Forehand, RPH
• Candice Hanson
• Hearing Professionals of America LLC
• Monica Henry, FNP
• Highland Park CVS, L.L.C. (CVS Pharmacy #10737)
• Home Medical Supplies Inc
• Michael C Hyre, MD
• Illinois Eye Associates, LTD
• Ize Vision Center of Peotone, LLC
• Danielle Jean Jacques

• Family Nurse Practitioner in Peotone, IL
• Providers in Peotone, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.