Individual provider Active NPI

Sandra Ann Mazur, APN-CNP

  • Nurse Practitioner
  • Bolingbrook, IL
National Provider Identifier
1588651509
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209001598 Issued in IL
Practice address
130 N Weber Rd
Suite 112
Bolingbrook, IL 60440-1564
Phone
(630) 378-3400
Fax
(630) 378-3449
NPI assigned
Oct 4, 2005
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209001598 IL Primary
Family Medicine Physician 207Q00000X 209-001598 IL

Addresses

Primary practice location

130 N Weber Rd
Suite 112
Bolingbrook, IL 60440-1564

Mailing address

130 N Weber Rd Ste 100
Bolingbrook, IL 60440-1519
Phone (630) 646-5777

Other names 1

  • Sandra A Schulke Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smazur15337@direct.edward.org Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000342 IL Practitioner - Nurse Practitioner 4789684937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

130 N Weber Rd
Suite 100
Bolingbrook, IL 60440-1519
Phone (630) 646-5777

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-001598ILMDFamily Medicine Physician
209001598ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 12, 2023 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Dec 12, 2023 Accepting new patients
Edward Health Ventures CurrentSince Nov 1, 2006 Accepting new patients
Edward Health Ventures CurrentSince Nov 1, 2006 Accepting new patients
Edward Health Ventures Past Accepting new patients
Edward Health Ventures Past Accepting new patients

Locations

130 N Weber Rd
Ste 100
Bolingbrook, IL 60440
Phone (630) 232-7300

130 N Weber Rd
Ste 112
Bolingbrook, IL 60440
Phone (630) 378-3400

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

2007 95th St
Ste 105
Naperville, IL 60564
Phone (630) 646-6920

24600 W 127th St
Ste B100
Plainfield, IL 60585
Phone (815) 731-9000

Interoperability endpoints

  • Direct secure messaging: smazur15337@direct.edward.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1588651509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N WEBER RD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401519",
            "telephone_number": "630-646-5777",
            "fax_number": "630-646-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N WEBER RD",
            "address_2": "SUITE 112",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401564",
            "telephone_number": "630-378-3400",
            "fax_number": "630-378-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209001598",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209-001598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smazur15337@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 N Weber Rd Ste 100",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604401519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "SCHULKE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.