Healthcare Provider Details

I. General information

NPI: 1447043617
Provider Name (Legal Business Name): MARIA R SANCHEZ PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4659 S DREXEL BLVD APT 602
CHICAGO IL
60653-4376
US

IV. Provider business mailing address

2071 N SOUTHPORT AVE STE 100
CHICAGO IL
60614-4015
US

V. Phone/Fax

Practice location:
  • Phone: 646-207-0425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: