Individual provider · Type 1 NPI

Sandra Lynn Mikulich, APN

Nurse Practitioner · Hazel Crest, IL

NPI number 1528216082 Active

Practice location

17850 Kedzie Ave Ste 3250
Hazel Crest, IL 60429-2082

Call (708) 799-8700 Map

Fax (708) 957-1830

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

17800 South Kedzie Avenue, Hazel Crest, IL 60429 · (708) 213-3976

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	209007221 (IL)
Nurse Practitioner Primary	363L00000X	209007221 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1528216082

Sandra Lynn Mikulich, APN's National Provider Identifier is 1528216082, issued on Sep 8, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Sep 29, 2026.