MEDICARE: OSCAR MAURICIO SANCHEZ M.D.

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	207Q00000X	Family Medicine Physician	036095395	IL
2	207R00000X	Internal Medicine Physician	36095395	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164426094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR MAURICIO SANCHEZ M.D.

Provider Business Mailing Address
First Line	:	5435 BULL VALLEY RD
Second Line	:	SUITE 218
City	:	MCHENRY
State	:	IL
Zip	:	60050-7434
Country	:	US
Telephone Number	:	815-578-0224
Fax Number	:	815-578-0525

Provider Business Practice Location Address
First Line	:	5435 BULL VALLEY RD
Second Line	:	STE 218
City	:	MCHENRY
State	:	IL
Zip	:	60050-7435
Country	:	US
Telephone Number	:	815-578-0224
Fax Number	:	815-578-0525

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	09/14/2011

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Directions to “ OSCAR MAURICIO SANCHEZ M.D.” Practice Location

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