Individual provider Active NPI

Renita Camille Sanders, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1629579271
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003051 Issued in IL
Practice address
9119 S Exchange Ave
Chicago, IL 60617-4225
Phone
(773) 768-5000
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277003051 IL Primary

Addresses

Primary practice location

9119 S Exchange Ave
Chicago, IL 60617-4225

Mailing address

7601 Kingery Hwy
Willowbrook, IL 60527-5538
Phone (773) 299-0323

Other practice location 1

6748 W 111th St
Worth, IL 60482-1912
Phone (773) 299-0323

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
I20180822000646 IL Practitioner - Nurse Practitioner 8628327848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

10536 S Ewing Ave
Chicago, IL 60617-6219
Phone (773) 768-5000

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277003051ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Family Health Center Inc CurrentSince Dec 14, 2025 Accepting new patients
Chicago Family Health Center, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Vpa PC CurrentSince Nov 14, 2025 Accepting new patients
Community Health Alliance PLLC CurrentSince Oct 24, 2025 Accepting new patients
One Savvy NP, LLC Current Accepting new patients
Vpa PC CurrentSince Nov 14, 2025 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Dec 15, 2025 Accepting new patients
Mobilevax Staffing LLC Past Accepting new patients

Locations

570 E 115th St
Chicago, IL 60628

520 W Erie St
Ste 300
Chicago, IL 60654
Phone (773) 733-0199

9119 S Exchange Ave
Chicago, IL 60617

Interoperability endpoints

  • Direct secure messaging: renita.sanders@398008301912068.direct.elationemr.com
  • Direct secure messaging: renita.sanders.1@18277.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1629579271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275538",
            "telephone_number": "773-299-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-768-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6748 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Worth",
            "state": "IL",
            "postal_code": "604821912",
            "country_code": "US",
            "telephone_number": "773-299-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RENITA",
        "middle_name": "CAMILLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.