Provider Demographics
NPI:1326129792
Name:SANDLER, STEVEN A (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:SANDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2239 PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1176
Mailing Address - Country:US
Mailing Address - Phone:847-272-2239
Mailing Address - Fax:847-272-8070
Practice Address - Street 1:9669 KENTON AVE
Practice Address - Street 2:SUITE 550
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1266
Practice Address - Country:US
Practice Address - Phone:847-933-0875
Practice Address - Fax:847-933-0878
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363378415207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036057182Medicaid
IL036057182Medicaid
IL715343Medicare ID - Type Unspecified