Individual provider Active NPI

Tatyana Kholod Sanders

  • Family Nurse Practitioner
  • Buffalo Grove, IL
National Provider Identifier
1811326523
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.010764 Issued in IL
Practice address
56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone
(224) 601-5001
Fax
(224) 333-7063
NPI assigned
Nov 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 209.010764 IL Primary

Addresses

Primary practice location

56 W Dundee Rd
Buffalo Grove, IL 60089-3758

Mailing address

56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (224) 601-5001

Other practice location 1

480 S Rand Rd
Lake Zurich, IL 60047-2359
Phone (847) 350-1291

Other practice location 2

1015 Summit St
Elgin, IL 60120-4362
Phone (847) 289-8355

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
I20171218001966 IL Practitioner - Nurse Practitioner 8729200357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Forever Healthcare P.CGroup PAC ID 6608009253, 8 clinicians

Practice addresses (Care Compare)

56 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (224) 601-5001

Hospital & facility affiliations

  • Saint Joseph Hospital-Elgin Hospital, Elgin, IL, CCN 140217
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.010764ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Forever Healthcare P.C Family CurrentSince Jul 1, 2025 Accepting new patients
Vitality Urgent Care Services CurrentSince Jul 1, 2025 Accepting new patients

Locations

3900 Gabrielle Ln
Unit 9130
Aurora, IL 60598

56 W Dundee Rd
Buffalo Grove, IL 60089
Phone (224) 601-5001

480 S Rand Rd
Lake Zurich, IL 60047
Phone (224) 601-5001

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1811326523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893758",
            "telephone_number": "224-601-5001",
            "fax_number": "224-333-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472359",
            "country_code": "US",
            "telephone_number": "847-350-1291",
            "fax_number": "224-333-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Summit St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601204362",
            "country_code": "US",
            "telephone_number": "847-289-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOLOD SANDERS",
        "first_name": "TATYANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-03",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.010764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.