Individual provider · Type 1 NPI

Deidra Sanford

Family Nurse Practitioner · Chicago, IL

NPI number 1386106649 Active

Practice location

9119 S Exchange Ave
Chicago, IL 60617-4225

Other practice locations

  • 2600 S Michigan Ave Ste 100, Chicago, IL 60616-2857 · (312) 996-2655
  • 1309 S Halsted St, Chicago, IL 60607-5003 · (312) 996-2655

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.018992 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1386106649

Deidra Sanford's National Provider Identifier is 1386106649, issued on Apr 4, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Jul 14, 2025.