Active NPI
Peter Kevin Sand, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 036064560
- Practice address
- 9650 Gross Point Rd # 3900
Skokie, IL 60076 - Phone
- (224) 251-2374
- Fax
- (847) 933-3531
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 036064560 | IL | Primary |
Addresses
Primary practice location
9650 Gross Point Rd # 3900
Skokie, IL 60076
Mailing address
9650 Gross Point Rd # 3900
Skokie, IL 60076-1214
Phone (224) 251-2374
Other practice location 1
9650 Gross Point Rd # 3900
Skokie, IL 60076
Phone (224) 251-2374
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064560 | IL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
1000 Central St
Ste 730
Evanston, IL 60201
Phone (847) 663-8410
9650 Gross Point Rd
Ste 3900
Skokie, IL 60076
Phone (224) 251-2374
9650 Gross Point Rd
Fl Third
Skokie, IL 60076
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Obstetrics & Gynecology
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1700984408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD # 3900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "224-251-2374",
"fax_number": "847-933-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD # 3900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60076",
"telephone_number": "224-251-2374",
"fax_number": "847-933-3531"
}
],
"practiceLocations": [
{
"address_1": "9650 Gross Point Rd # 3900",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "60076",
"country_code": "US",
"telephone_number": "224-251-2374",
"fax_number": "847-570-1386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAND",
"first_name": "PETER",
"middle_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "IL",
"license": "036064560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.