PRAIRIE HEALTHCARE LTD NPI 1497878086

NPI Information

NPI: 1497878086
Provider Name: PRAIRIE HEALTHCARE, LTD

Doing Business As: SANDWICH FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1 E COUNTYLINE RD
SANDWICH, IL
ZIP 60548
Phone: (815) 786-2722
Get Directions

PRAIRIE HEALTHCARE, LTD is a family medicine in Sandwich, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRAIRIE HEALTHCARE, LTD NPI is 1497878086. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sandwich Family Practice.

The provider's business location address is:

1 E COUNTYLINE RD
SANDWICH, IL
ZIP 60548-178
Phone: (815) 786-2722

The provider's authorized official is Denise A Brennan .
The authorized official title is Office Manager and has the following contact phone number (815) 786-2722.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 2/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	729001	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE
2	1921614	OTHER	ILLINOIS	BLUECROSSBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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