Provider Demographics
NPI:1598939449
Name:RIGSBEE, SANDRA S (MSW)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:S
Last Name:RIGSBEE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 E MADISON PARK
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2959
Mailing Address - Country:US
Mailing Address - Phone:773-548-1680
Mailing Address - Fax:
Practice Address - Street 1:1326 S AVERS AVE
Practice Address - Street 2:ERIE-HENSON HEALTH CENTER
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-1329
Practice Address - Country:US
Practice Address - Phone:773-565-6903
Practice Address - Fax:773-565-6906
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490040841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical