| Sandwich Family Practice | |
|
1 E Countyline Rd Sandwich IL 60548-2178 | |
| (815) 786-2722 | |
| (815) 786-6840 |
| Full Name | Sandwich Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1 E Countyline Rd, Sandwich, Illinois |
| Authorized Official Name and Position | Wiliam G Kottman (PRESIDENT) |
| Authorized Official Contact | 6306463884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandwich Family Practice 1 E Countyline Rd Sandwich IL 60548-2178 Ph: (815) 786-2722 | Sandwich Family Practice 1 E Countyline Rd Sandwich IL 60548-2178 Ph: (815) 786-2722 |
| NPI Number | 1316183551 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316183551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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