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

Rosario M Sandoval

Individual provider Nurse Practitioner · NPI 1629662929

Rosario M Sandoval is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Mount Sinai Community Foundation, a 246-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2653 W Ogden Ave Fl 2
Chicago, IL 60608-1647
Phone: (773) 257-6672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26460 Network Pl, Chicago, IL 60673-1264 — (773) 257-6672

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209022592 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.022592 (IL)

Record details

NPI number1629662929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2021
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mount Sinai Community Foundation — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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