Individual provider Active NPI

Sandra Lee Mulcrone, CNM,APRN,MS

  • Advanced Practice Midwife
  • Orland Park, IL
National Provider Identifier
1952317786
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209001535 Issued in IL
Practice address
15300 West Ave Ste 120
Orland Park, IL 60462-4508
Phone
(708) 590-5304
Fax
(708) 590-5308
NPI assigned
Aug 1, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209001535 IL Primary

Addresses

Primary practice location

15300 West Ave Ste 120
Orland Park, IL 60462-4508

Mailing address

15300 West Ave Ste 120
Orland Park, IL 60462-4508
Phone (708) 590-5304

Other practice location 1

3048 N Wilton Ave Fl 3
Chicago, IL 60657-6710
Phone (773) 296-3098

Other identifiers 1

IdentifierTypeStateIssuer
41.254942MedicaidIL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000415 IL Practitioner - Certified Nurse Midwife (CNM) 3274432265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

15300 W Ave
Suite 120
Orland Park, IL 60462-4508
Phone (708) 590-5304

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Mar 2, 2025 Accepting new patients
Esperanza Health Centers Current Accepting new patients
Esperanza Health Centers CurrentSince Feb 4, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 15, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Feb 4, 2021 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Aug 15, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 2, 2025 Accepting new patients
Esperanza Health Centers Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

2819 W 21st Pl
Chicago, IL 60623

29373 Network Pl
Chicago, IL 60673

3048 N Wilton Ave
Fl 3
Chicago, IL 60657
Phone (773) 296-5420

75 Remittance Dr
Chicago, IL 60675

15300 West Ave
Ste 120
Orland Park, IL 60462
Phone (708) 460-7890

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1952317786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 120",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624508",
            "telephone_number": "708-590-5304",
            "fax_number": "708-590-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE 120",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624508",
            "telephone_number": "708-590-5304",
            "fax_number": "708-590-5308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 N Wilton Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576710",
            "country_code": "US",
            "telephone_number": "773-296-3098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULCRONE",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "CNM,APRN,MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209001535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41.254942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.