Provider Demographics
NPI:1831295542
Name:SANDU, IOANA CORINA (MD)
Entity Type:Individual
Prefix:DR
First Name:IOANA
Middle Name:CORINA
Last Name:SANDU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IOANA
Other - Middle Name:CORINA
Other - Last Name:TAMPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7854 E PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-3672
Mailing Address - Country:US
Mailing Address - Phone:847-674-2193
Mailing Address - Fax:
Practice Address - Street 1:3001 GREEN BAY RD
Practice Address - Street 2:301A
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064-3048
Practice Address - Country:US
Practice Address - Phone:847-688-1900
Practice Address - Fax:224-610-2931
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry