Sandra C. Chapman, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209-006785 Issued in IL

Practice address

Premise Health 360 Healthcare
1 Waukegan Road
North Chicago, IL 60064

Phone

(262) 878-7030

Fax

(262) 878-7024

NPI assigned

Jan 13, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • North Chicago, IL
  • NPI 1952075079
  NPD
• Premise Health of Illinois Medical, PC

  • Primary Care Clinic/Center
  • Deerfield, IL
  • NPI 1033494976
  NPD (past)

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

{
    "created_epoch": "1200182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1316123094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ABBVIE",
            "address_2": "1 WAUKEGAN ROAD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "847-936-5800",
            "fax_number": "847-936-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PREMISE HEALTH 360 HEALTHCARE",
            "address_2": "1 WAUKEGAN ROAD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "262-878-7030",
            "fax_number": "262-878-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "SANDRA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-006785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William E Chagares, DPM
• Natalia Chalupczak
• Alexis Julie Libre Chan
• Susanna Chang, M.D.
• Jamie Chapman, LCSW
• Lisa Ann Charles Fields, PHD, PA-C
• Suzanne Thanh Chau, PHARMD, BCPS
• Priyanka Chava, MD
• Jin Cheng Benny Chen
• Regina C Chen, PA-C

• Adult Health Nurse Practitioner in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.