Sander, Gretchen

Sander, Gretchen is an individual health care provider with primary practice located at 101 United Dr Suite 110, Collinsville IL 62234-7428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sander, Gretchen can be contacted via phone (618) 855-9041.

Contact Information

Primary practice address
101 United Dr Suite 110 Collinsville IL 62234-7428
Fax: (618) 855-9046
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36118745 Illinois

Profile Details

NPI number 1427256486
LBN Legal business name Sander, Gretchen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427256486 NPPES
Illinois MEDICAID 036118745

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