Active NPI
Sandra Boafoa Anim, NP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277.005388
- Practice address
- 1715 E 95TH St
Chicago, IL 60617-4708 - Phone
- (773) 768-4437
- Fax
- (773) 564-3515
- NPI assigned
- Sep 3, 2013
- Last updated
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277.005388 | IL | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | 041392010 | IL |
Addresses
Primary practice location
1715 E 95TH St
Chicago, IL 60617-4708
Mailing address
PO Box 746715
Atlanta, GA 30374-6715
Phone (773) 768-4437
Other practice location 1
2323 Texas St
Pecos, TX 79772-7338
Phone (432) 447-0565
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 E 95TH St
Chicago, IL 60617-4708
Phone (312) 733-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.005388 | IL | MD | Family Nurse Practitioner |
| 041392010 | IL | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group, PC | Family | Current | Accepting new patients |
Locations
1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1821422320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746715",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746715",
"telephone_number": "773-768-4437",
"fax_number": "773-564-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E 95TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606174708",
"telephone_number": "773-768-4437",
"fax_number": "773-564-3515"
}
],
"practiceLocations": [
{
"address_1": "2323 Texas St",
"address_purpose": "LOCATION",
"city": "Pecos",
"state": "TX",
"postal_code": "797727338",
"country_code": "US",
"telephone_number": "432-447-0565",
"fax_number": "432-447-0422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANIM",
"first_name": "SANDRA",
"middle_name": "BOAFOA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277.005388",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "IL",
"license": "041392010",
"primary": false
}
],
"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 Apr 2, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.