Active NPI
Nancy Margaret Sahakian, MD
- Family Medicine Physician
- Crystal Lake, IL
National Provider Identifier
1629214937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33767-020
- Practice address
- 152 Regal Dr
Crystal Lake, IL 60014-6232 - Phone
- (262) 633-9957
- NPI assigned
- Dec 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 33767-020 | WI | |
| Family Medicine Physician | 207Q00000X | 33767-020 | WI | Primary |
Addresses
Primary practice location
152 Regal Dr
Crystal Lake, IL 60014-6232
Mailing address
152 Regal Dr
Crystal Lake, IL 60014-6232
Phone (262) 633-9957
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33767-020 | WI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1629214937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 REGAL DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146232",
"telephone_number": "262-633-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 REGAL DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146232",
"telephone_number": "262-633-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHAKIAN",
"first_name": "NANCY",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "WI",
"license": "33767-020",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "33767-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.