Individual provider Active NPI

Joseph A Sanchez, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1912907270
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036079737 Issued in IL
Practice address
6974 N Clark St
Chicago, IL 60626-3221
Phone
(773) 743-6300
Fax
(773) 743-2618
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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 036079737 IL Primary

Addresses

Primary practice location

6974 N Clark St
Chicago, IL 60626-3221

Mailing address

6974 N Clark St
Chicago, IL 60626-3221
Phone (773) 743-6300

Other practice location 1

3500 W Peterson Ave Ste 300
Chicago, IL 60659-3307
Phone (773) 961-3200

Other identifiers 1

IdentifierTypeStateIssuer
036079737MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsanchez11422@ce-direct.presencehealth.org

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
I20031211000604 IL Practitioner - Family Practice 7012813819

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Remington Blvd
Bolingbrook, IL 60440-4706

1000 Remington Blvd
Bolingbrook, IL 60440-4707

16 Atlantic Ave
FL 2
Lynbrook, NY 11563-3046

701 Biesterfield Rd
Elk Grove Village, IL 60007-3309

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036079737ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsanchez11422@ce-direct.presencehealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1912907270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6974 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263221",
            "telephone_number": "773-743-6300",
            "fax_number": "773-743-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6974 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263221",
            "telephone_number": "773-743-6300",
            "fax_number": "773-743-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 W Peterson Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593307",
            "country_code": "US",
            "telephone_number": "773-961-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036079737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079737",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsanchez11422@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "3500 W Peterson Ave Ste 300",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606593307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.