FRESENIUS MEDICAL CARE SANDWICH, LLC (NPI# 1063674711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063674711 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE SANDWICH, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE SANDWICH |
| Practice Address |
1310 N Main St Suite 105 Sandwich IL 60548 |
| Mailing Address |
1310 N Main St Suite 105 Sandwich IL 60548-1394 |
| Practice Telephone | 8157868470 |
| Mailing Telephone | 8157868470 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2009-05-21 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Sandwich | Doing Business As Name - Organization |
| Street Address |
1310 N MAIN ST SUITE 105 |
| City | SANDWICH |
| State | IL |
| Zip Code | 60548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457609554 | Patricia Nichole Jackson | Nurse Practitioner | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2012-08-21 |
| 1740545300 | Lucas Winterhalter | Specialist | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2012-07-10 |
| 1225397532 | Lindsey Dunsheath | Nurse Practitioner | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2012-05-07 |
| 1871785402 | John F. Lacart | Orthopaedic Surgery | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2007-08-17 |
| 1942320494 | Allen Kao | Physical Medicine & Rehabilitation | 1310 N Main St, Suite 100, Sandwich, IL 60548-1394 | 2007-03-29 |
| 1679660179 | Trinity Women's Health Care Sc | Obstetrics & Gynecology | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2006-10-06 |
| 1801816277 | Ann Luise West | Obstetrics & Gynecology | 1310 N Main St, Suite 209, Sandwich, IL 60548-1394 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
| 1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
| 1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
| 1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
| 1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
| 1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
| 1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
| 1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
| 1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
| 1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
| Find all providers in zip 60548 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1730725904 | Perryton Dialysis LLC | Clinic/Center | 8604 Woodward Ave, Woodridge, IL 60517-3171 | 2019-11-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.