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TYLER DAVIS-SANDFOSS
NPI 1063981397
Nurse Anesthetist, Certified Registered in Chicago, IL

Active since November 15, 2018
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-0454 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 22, 2019, Nov 15, 2018 (2 updates tracked since 2018).

About Tyler Davis-sandfoss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER DAVIS-SANDFOSS (NPI 1063981397) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (209018741) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1063981397
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTYLER DAVIS-SANDFOSS
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address3218 N Clark St Apt 410Chicago, IL 60657-0021 · (859) 866-4479
Phone(312) 864-0454
Sole ProprietorNo
Enumeration DateNovember 15, 2018
Last NPPES UpdateMarch 22, 20192 updates tracked since enumeration
✔ NPI 1063981397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209018741
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 041.471617 (IL)
1969 W OGDEN AVE, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Davis-sandfoss's NPI number?

The NPI number for Tyler Davis-sandfoss is 1063981397. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Tyler Davis-sandfoss located?

Tyler Davis-sandfoss practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-0454.

What is Tyler Davis-sandfoss's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Tyler Davis-sandfoss was last updated on March 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.