Individual provider Active NPI

Claudia Sanchez, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1841556867
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-138907 Issued in IL
Practice address
3924 W Fullerton Ave
Chicago, IL 60647-2228
Phone
(773) 276-2229
Fax
(773) 276-2190
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-138907 IL Primary

Addresses

Primary practice location

3924 W Fullerton Ave
Chicago, IL 60647-2228

Mailing address

1431 N Western Ave
Suite 401
Chicago, IL 60622-1797
Phone (312) 572-2643

Other identifiers 1

IdentifierTypeStateIssuer
036138907MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203002351 IL Practitioner - Family Practice 0446550016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primecare Community Health, Inc.Group PAC ID 6204722077, 41 clinicians

Practice addresses (Care Compare)

3924 W Fullerton Ave
Chicago, IL 60647-2228
Phone (312) 491-5495

Hospital & facility affiliations

  • Accentcare Home Health of Illinois Home health agency, Lombard, IL, CCN 147811
  • Community First Medical Center Hospital, Chicago, IL, CCN 140251
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-138907ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primecare Community Health, Inc. Family Medicine Current Accepting new patients
Primecare Community Health Inc CurrentSince Oct 24, 2015 Accepting new patients
Primecare Community Health, Inc. Family Medicine Current Accepting new patients
Primecare Community Health, Inc. Family Medicine CurrentSince Oct 24, 2015 Accepting new patients
Primecare Community Health Inc. Past Accepting new patients
Primecare Community Health Inc Past Accepting new patients

Locations

1431 N Western Ave
Ste 401
Chicago, IL 60622
Phone (312) 633-5841

1431 N Western Ave
Ste 202
Chicago, IL 60622
Phone (773) 276-2272

1127 N Oakley Blvd
Fl 2
Chicago, IL 60622
Phone (312) 633-5841

5635 W Belmont Ave
Chicago, IL 60634
Phone (773) 736-1830

3924 W Fullerton Ave
Chicago, IL 60647
Phone (773) 276-2229

1431 N Western Ave
Ste 406
Chicago, IL 60622
Phone (312) 491-5495

1127 N Oakley Blvd
Bldg 2ND
Chicago, IL 60622

1431 N Western Ave
Ste 209
Chicago, IL 60622
Phone (312) 491-5435

Interoperability endpoints

  • Direct secure messaging: claudia.sanchez.1@16494.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1841556867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "312-572-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472228",
            "telephone_number": "773-276-2229",
            "fax_number": "773-276-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CLAUDIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-138907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036138907",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.