WILLIAM SANDOVAL (NPI# 1912080912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912080912 |
| Entity Type | Individual |
| Full Name | WILLIAM SANDOVAL |
| Credential | MD |
| Practice Address |
1747 Henry Luckow Ln Belvidere IL 61008-1702 |
| Practice Telephone | 8159713030 |
| Practice Fax Number | 8159719895 |
| Mailing Telephone | 8159713030 |
| Mailing Fax Number | 8159719895 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-086443 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073746269 | William Sandoval | Counselor | 907 W Bond St, Espanola, NM 87532-2738 | 2009-09-03 |
| Street Address |
1747 HENRY LUCKOW LN |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720216930 | Meredith Marie Ulmer | Family Medicine | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2009-06-25 |
| 1700922267 | James W Phoenix | Family Medicine | 1747 Henry Luckow Ln, Belvidere, IL 61008-1702 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033380514 | Preston Scott Medical Group | Family Medicine | 1906 Pierce Ct, Belvidere, IL 61008-1742 | 2008-03-12 |
| 1144424847 | L Robert Warren Md LLC | Family Medicine | 205 Cadillac Ct Ste 6, Belvidere, IL 61008-1733 | 2007-06-14 |
| 1083700868 | John Patrick Fritz | Family Medicine | 500 Greenwich St, Belvidere, NJ 07823-1409 | 2006-10-05 |
| 1003820465 | John V Bernard | Family Medicine | 526 Water Street, Belvidere, NJ 07823 | 2006-07-28 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1699708636 | Therese Marie Lucietto-sieradzki | Family Medicine | 205 Cadillac Ct Ste 7, Belvidere, IL 61008-1733 | 2006-07-09 |
| 1235182288 | Saint Anthony Medical Center | Family Medicine | 143 Kishwaukee St, Belvidere, IL 61008-3507 | 2006-05-19 |
| 1437139896 | Shin Chen | Family Medicine | 1003 Logan Ave, Belvidere, IL 61008-3955 | 2006-01-20 |
| 1558341933 | L Robert Warren | Family Medicine | 205 Cadillac Ct, Belvidere, IL 61008-1733 | 2006-01-20 |
| 1982694980 | Atisak Sapying | Family Medicine | 2170 Pearl St, Belvidere, IL 61008-6020 | 2005-10-21 |
| Find all providers in BELVIDERE | ||||
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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.