Healthcare Provider Details

I. General information

NPI: 1033641972
Provider Name (Legal Business Name): YOLANDA SANKEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S. FAIRFIELD MOUNT SINAI HOSPITAL
CHICAGO IL
60608-1782
US

IV. Provider business mailing address

8137 S HARVARD AVE
CHICAGO IL
60620-1708
US

V. Phone/Fax

Practice location:
  • Phone: 773-542-2000
  • Fax:
Mailing address:
  • Phone: 773-597-7023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number041.331942
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number209.015769
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: