| Sandwich Family Practice | |
|
1 E Countyline Rd Sandwich IL 60548-2178 | |
| (815) 786-2722 | |
| Not Available |
| Full Name | Sandwich Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1 E Countyline Rd, Sandwich, Illinois |
| Authorized Official Name and Position | Denise A Brennan (OFFICE MANAGER) |
| Authorized Official Contact | 8157862722 |
| 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 | 1497878086 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497878086 | NPI | - | NPPES |
| 1921614 | Other | IL | BLUECROSSBLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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