Active NPI
Alejandro Sanchez
- Physician Assistant
- Chicago, IL
National Provider Identifier
1710003710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 85-000433
- Practice address
- 1901 West Harrison
Fantus/ASC
Chicago, IL 60612 - Phone
- (312) 864-0706
- Fax
- (312) 689-3258
- NPI assigned
- Mar 21, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 85-000433 | IL | Primary |
Addresses
Primary practice location
1901 West Harrison
Fantus/ASC
Chicago, IL 60612
Mailing address
1901 West Harrison
Fantus/ASC
Chicago, IL 60612
Phone (312) 864-0706
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-000433 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1710003710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 WEST HARRISON",
"address_2": "FANTUS/ASC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-864-0706",
"fax_number": "312-689-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WEST HARRISON",
"address_2": "FANTUS/ASC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-864-0706",
"fax_number": "312-689-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "ALEJANDRO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "85-000433",
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.