Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doris Fandohan, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1679038186

Doris Fandohan, NURSEPRACTITIONER is a Nurse Practitioner in Blue Island, Illinois. Qualified in 2019, 7 years ago. Practices with Oak Street Health Physicians Group PC, a 234-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
7
Licensed in
IL, IN
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3046 127th St
Blue Island, IL 60406-1827
Phone: (708) 377-7920
Fax: (708) 930-0414
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3535 Broadway, Gary, IN 46409-1316 — (219) 884-4900

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019405 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71008752A (IN)

Record details

NPI number1679038186
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Oak Street Health Physicians Group Pc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blue Island