DR. DAVID L FAULK (NPI# 1760475271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475271 |
| Entity Type | Individual |
| Full Name | DR. DAVID L FAULK |
| Credential | MD |
| Practice Address |
1 E Countyline Rd Sandwich IL 60548-2178 |
| Practice Telephone | 8157862722 |
| Practice Fax Number | 8157866840 |
| Mailing Telephone | 8157862722 |
| Mailing Fax Number | 8157866840 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 036 049209 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036049209 | 05 | |
| BC/BS | 1921614 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053340539 | David J Faulk | Psychiatry & Neurology | 1606 Gloucester St, Brunswick, GA 31520-7145 | 2006-06-30 |
| Street Address |
1 E COUNTYLINE RD |
| City | SANDWICH |
| State | IL |
| Zip Code | 60548-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243100 | Maria Dana Sutkus | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2005-08-29 |
| 1992039390 | Edward Health Ventures | Internal Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2009-10-01 |
| 1316183551 | Edward Health Ventures | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2008-12-17 |
| 1851547848 | Mark D Weinhold D D S P C | Dentist | 1 E Countyline Rd, Ste A, Sandwich, IL 60548-2178 | 2008-08-11 |
| 1366615353 | Anne Barsch | Marriage & Family Therapist | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2008-04-10 |
| 1790908077 | Dreyer Medical Group Ltd | Clinic/Center | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-04-11 |
| 1497878086 | Prairie Healthcare, Ltd | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-04-09 |
| 1396866885 | Mark Donald Weinhold | Dentist | 1 E Countyline Rd, Suite A, Sandwich, IL 60548-2178 | 2007-04-02 |
| 1558401091 | Rezin Orthopedic and Sports Medicine, Sc | Durable Medical Equipment & Medical Supplies | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-02-07 |
| 1992844856 | Rezin Orthopedic & Sports Medicine, Sc | Physical Medicine & Rehabilitation | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-02-06 |
| Find all providers in the same location | ||||
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189959 | Mantilla Surgical Sc | Colon & Rectal Surgery | 42 Gale Ave, River Forest, IL 60305-2010 | 2020-03-17 |
| 1245662626 | Ajit Pai | Colon & Rectal Surgery | 1775 W Dempster Street, Advocate Lutheran Hospital, Parkridge, IL 60016-4993 | 2013-08-07 |
| 1376845149 | Saeed Salem Albalawi | Colon & Rectal Surgery | 2626 N Ashland Ave, Apartment #1, Chicago, IL 60614-1102 | 2010-11-29 |
| 1386962207 | Gerald Gantt Jr. | Colon & Rectal Surgery | 840 S Wood St Ste 518e, Chicago, IL 60612 | 2010-05-17 |
| 1336186113 | Darryl Fernandes | Colon & Rectal Surgery | 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 | 2006-06-01 |
| 1265498463 | Shanmugam Lakshmanan Sc | Colon & Rectal Surgery | 111 E Rogers St, Salem, IL 62881-2902 | 2006-04-25 |
| 1225014889 | Sanath Kumar | Colon & Rectal Surgery | 9445 W 144th Pl, Orland Park, IL 60462-2543 | 2005-12-15 |
| 1942291604 | Vitaliy Y. Poylin | Colon & Rectal Surgery | 259 E Erie St Fl 16, Chicago, IL 60611-2987 | 2005-11-02 |
| 1457348401 | Jan Rakinic | Colon & Rectal Surgery | 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 | 2005-10-04 |
| 1104379973 | Jean-francois Tremblay | Colon & Rectal Surgery | 1550 N Northwest Hwy, Suite 107, Park Ridge, IL 60068-1411 | 2016-07-28 |
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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.