Active NPI
Sandra Marie Turner, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1588696603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036066327
- Practice address
- 5001 S Michigan Ave
Chicago, IL 60615-2112 - Phone
- (773) 451-4700
- Fax
- (773) 548-8632
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036066327 | IL | Primary |
Addresses
Primary practice location
5001 S Michigan Ave
Chicago, IL 60615-2112
Mailing address
PO Box 738
Forest Park, IL 60130
Phone (773) 330-3172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203025 | Medicaid | IL | |
| 01602790912 | Other | IL | AMA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036066327 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1588696603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 738",
"city": "FOREST PARK",
"state": "IL",
"postal_code": "60130",
"telephone_number": "773-330-3172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606152112",
"telephone_number": "773-451-4700",
"fax_number": "773-548-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "SANDRA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036066327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203025",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMA NUMBER",
"identifier": "01602790912",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.