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NPI Code Detail

MEDICARE: LUIS ALEJANDRO DE JESUS SANCHEZ MD

MEDICARE: LUIS ALEJANDRO DE JESUS SANCHEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician125.078275IL

General Provider Information

NPI Number : 1851893994
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS ALEJANDRO DE JESUS SANCHEZ MD
Provider Business Mailing Address
First Line : 180 HARVESTER DR STE 110
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-6686
Country : US
Telephone Number : 773-702-1150
Fax Number :
Provider Business Practice Location Address
First Line : 950 W PEACHTREE ST NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3846
Country : US
Telephone Number : 773-702-3550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 07/15/2025

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