Provider Demographics
NPI:1003967324
Name:MARIA VIVIAN L. SANCHEZ, M.D., S.C.
Entity Type:Organization
Organization Name:MARIA VIVIAN L. SANCHEZ, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA VIVIAN
Authorized Official - Middle Name:LOPEZ
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-241-1229
Mailing Address - Street 1:5660 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2380
Mailing Address - Country:US
Mailing Address - Phone:630-241-1229
Mailing Address - Fax:630-963-9594
Practice Address - Street 1:5660 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2380
Practice Address - Country:US
Practice Address - Phone:630-241-1229
Practice Address - Fax:630-963-9594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty