MEDICARE: THRESHOLDS SANDLER CENTER

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1053577031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRESHOLDS SANDLER CENTER

Provider Business Mailing Address
First Line	:	4101 N RAVENSWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-2193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4529 S 8500E RD
Second Line	:
City	:	SAINT ANNE
State	:	IL
Zip	:	60964-4172
Country	:	US
Telephone Number	:	773-572-5500
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MR. ERIC MARTIN
Credential	:
Telephone Number	:	773-572-5456

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

Similar Medicare Providers

1376917278 — SALICIA ALANA MAZERO M.A, ATR, PLPC
Practice Location Address:

4172 ITASKA ST
SAINT LOUIS, MO
63116-2455

Practice Phone: 314-329-5374
Practice Fax:

1508679978 — KELLY ANNE BOYER
Practice Location Address:

90 ASCEND CIR APT 11309
SAINT JOHNS, FL
32259-4172

Practice Phone: 904-728-4672
Practice Fax:

1588632681 — SERGEY SHUSHUNOV MD
Practice Location Address:

135 W STATION ST
SAINT ANNE, IL
60964-7251

Practice Phone: 815-427-1324
Practice Fax:

1487977740 — MRS. KAREN M. WILLIS SLP-P
Practice Location Address:

9887 E 8000S RD
SAINT ANNE, IL
60964-4615

Practice Phone: 815-422-0457
Practice Fax:

1093087645 — 'THERE'S NO PLACE LIKE HOME' MICROBOARD, INC.
Practice Location Address:

2813 S HIELAND RD
SAINT ANNE, IL
60964-5566

Practice Phone: 815-954-5621
Practice Fax:

1134676752 — MORGAN STRATE DPT
Practice Location Address:

5616 S STATE ROUTE 1
SAINT ANNE, IL
60964-5264

Practice Phone: 815-922-5101
Practice Fax:

Directions to “THRESHOLDS SANDLER CENTER ” 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 © 2007-2025 (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.