Individual provider Active NPI

Ioana Corina Sandu, M.D.

  • Psychiatry Physician
  • North Chicago, IL
National Provider Identifier
1831295542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Practice address
3001 Green Bay Rd
301A
North Chicago, IL 60064-3048
Phone
(847) 688-1900
Fax
(224) 610-2931
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X IL Primary

Addresses

Primary practice location

3001 Green Bay Rd
301A
North Chicago, IL 60064-3048

Mailing address

7854 E Prairie Rd
Skokie, IL 60076-3672
Phone (847) 674-2193

Other names 1

  • Ioana Corina Tampa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-105080ILMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831295542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7854 E PRAIRIE RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763672",
            "telephone_number": "847-674-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "address_2": "301A",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-1900",
            "fax_number": "224-610-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDU",
        "first_name": "IOANA",
        "middle_name": "CORINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IOANA",
            "last_name": "TAMPA",
            "middle_name": "CORINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.