Healthcare Provider Details

I. General information

NPI: 1033093737
Provider Name (Legal Business Name): SABRINA MARIE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18161 MORRIS AVE STE 202
HOMEWOOD IL
60430-2141
US

IV. Provider business mailing address

18161 MORRIS AVE STE 202
HOMEWOOD IL
60430-2141
US

V. Phone/Fax

Practice location:
  • Phone: 708-637-6760
  • Fax:
Mailing address:
  • Phone: 708-637-6760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022923
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003101A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: