Healthcare Provider Details

I. General information

NPI: 1982532305
Provider Name (Legal Business Name): SANDRA OKINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 N RIDGE AVE APT S307
CHICAGO IL
60660-1032
US

IV. Provider business mailing address

100 E WALTON ST APT 17H
CHICAGO IL
60611-1415
US

V. Phone/Fax

Practice location:
  • Phone: 708-275-4608
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: