| Doctors Egly And Associates Pc | |
|
11 E Pleasant Ave Suite 129 Sandwich IL 60548-1100 | |
| (815) 786-6988 | |
| (815) 786-1418 |
| Full Name | Doctors Egly And Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 E Pleasant Ave, Sandwich, Illinois |
| Authorized Official Name and Position | Kevin D Egly (CEO) |
| Authorized Official Contact | 8157866988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Egly And Associates Pc 203 Willowwood Dr Oswego IL 60543-7505 Ph: (815) 786-6988 | Doctors Egly And Associates Pc 11 E Pleasant Ave Suite 129 Sandwich IL 60548-1100 Ph: (815) 786-6988 |
| NPI Number | 1881818664 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 03/03/2011 |
| Medicare PECOS PAC ID | 2062481138 |
|---|---|
| Medicare Enrollment ID | O20040927000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881818664 | NPI | - | NPPES |
| 01932032 | Other | IL | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 060.009347 036.10105 (Illinois) | Primary |
| Provider Name | Angela Egly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063529295 PECOS PAC ID: 7315916483 Enrollment ID: I20040927000736 |
| Provider Name | Kevin D Egly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710092655 PECOS PAC ID: 0042289118 Enrollment ID: I20040927000836 |
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