MEDICARE: SANDRA JAESCHKE CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	209003766	IL

General Provider Information

NPI Number	:	1003815770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA JAESCHKE CNP

Provider Business Mailing Address
First Line	:	360 STATION DR
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014
Country	:	US
Telephone Number	:	815-338-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 STATION DR
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-7978
Country	:	US
Telephone Number	:	815-338-6600
Fax Number	:	815-455-8044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	08/08/2017

Similar Medicare Providers

1720943640 — AMERICAN ONCOLOGY PARTNERS, P.A.
Practice Location Address:

360 STATION DR STE 201
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-363-0066
Practice Fax: 815-459-6383

1194206367 — ILLINOIS CANCER SPECIALISTS
Practice Location Address:

360 STATION DR STE 201
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-363-0066
Practice Fax: 815-385-2812

1235181306 — DR. ANTONIO C YUK M.D.
Practice Location Address:

360 STATION DR , SUITE 240
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-356-5577
Practice Fax: 815-356-5579

1336164177 — ANGELA L KLISZ DPT
Practice Location Address:

360 STATION DR , SUITE 250
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-356-1750
Practice Fax: 815-356-1755

1104843739 — YANBING LI M.D.
Practice Location Address:

360 STATION DR
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-338-6600
Practice Fax: 815-477-9826

1285749390 — STEPHEN HERBERT KOZLOWSKI M.D.
Practice Location Address:

360 STATION DR
CRYSTAL LAKE, IL
60014-7978

Practice Phone: 815-338-6600
Practice Fax:

Directions to “ SANDRA JAESCHKE CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.