Provider Demographics
NPI:1831757301
Name:PITSTICK SANCHEZ, CLAIRE ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:PITSTICK SANCHEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:ELIZABETH
Other - Last Name:PITSTICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7222 W CERMAK RD STE 718
Mailing Address - Street 2:
Mailing Address - City:NORTH RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-1423
Mailing Address - Country:US
Mailing Address - Phone:312-942-3034
Mailing Address - Fax:
Practice Address - Street 1:7222 W CERMAK RD STE 718
Practice Address - Street 2:
Practice Address - City:NORTH RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-1423
Practice Address - Country:US
Practice Address - Phone:312-942-3034
Practice Address - Fax:312-942-3045
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.159925208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics