Sandwich Family Practice

LBN: Prairie Healthcare, Ltd
Sandwich Family Practice is an health care organization with primary practice located at 1 E Countyline Rd , Sandwich IL 60548-2178. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prairie Healthcare, Ltd can be contacted via phone (815) 786-2722, or through Brennan, Denise A via phone (815) 786-2722.

Contact Information

Primary practice address
1 E Countyline Rd Sandwich IL 60548-2178
Phone: (815) 786-2722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brennan, Denise A
Phone: (815) 786-2722

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois

Profile Details

NPI number 1497878086
LBN Legal business name Prairie Healthcare, Ltd
DBA Doing business as Sandwich Family Practice
Authorized official Brennan, Denise A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Feb 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497878086 NPPES
Illinois Other 1921614 BLUECROSSBLUE SHIELD

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