Healthcare Provider Details

I. General information

NPI: 1508648643
Provider Name (Legal Business Name): JAMILEC SANCHEZ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMILEC SANCHEZ DNP

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 S DAMEN AVE
CHICAGO IL
60612-3727
US

IV. Provider business mailing address

PO BOX 746715
ATLANTA GA
30374-6715
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-7800
  • Fax:
Mailing address:
  • Phone: 708-377-7920
  • Fax: 708-930-0414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number209030487
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: