| Fox Valley Vein Centers, P.c. | |
|
831 Sandhurst Dr Sandwich IL 60548-1390 | |
| (815) 786-3222 | |
| Not Available |
| Full Name | Fox Valley Vein Centers, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 831 Sandhurst Dr, Sandwich, Illinois |
| Authorized Official Name and Position | James N Hawkins (PRESIDENT/OWNER/PHYSICIAN) |
| Authorized Official Contact | 8157863222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Vein Centers, P.c. 831 Sandhurst Dr Sandwich IL 60548-1390 Ph: (815) 786-3222 | Fox Valley Vein Centers, P.c. 831 Sandhurst Dr Sandwich IL 60548-1390 Ph: (815) 786-3222 |
| NPI Number | 1114155983 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 06/30/2009 |
| Medicare PECOS PAC ID | 8628118114 |
|---|---|
| Medicare Enrollment ID | O20091214000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114155983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036083779 (Illinois) | Primary |
| Provider Name | James N Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558421875 PECOS PAC ID: 1658306394 Enrollment ID: I20051003000354 |
| Provider Name | Brett J Cassidy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649256975 PECOS PAC ID: 0042309197 Enrollment ID: I20071128000050 |
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