MS. SALLY BOTKIN APN
NPI 1720300635
Nurse Practitioner - Adult Health in Maywood, IL

Active since February 18, 2010
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9449(708) 216-8629 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sally Botkin Apn NPPES

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

MS. SALLY BOTKIN APN (NPI 1720300635) is an individual adult health provider in Maywood, Illinois, licensed in Illinois (209.007715) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1720300635
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. SALLY BOTKINCredential: APN
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st Ave, Ems-6290Maywood, IL 60153-3328 · (708) 216-9449 · Fax (708) 216-8629
Fax(708) 216-8629
Sole ProprietorYes
Enumeration DateFebruary 18, 2010
NPI 1720300635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in IL · 209.007715 Licensed in MI · 4704240094
2160 S 1ST AVE, Maywood, IL 60153

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.

Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153

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 Sally Botkin's NPI number?

The NPI number for Sally Botkin is 1720300635. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Sally Botkin located?

Sally Botkin practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9449.

What is Sally Botkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sally Botkin was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.