SANDWICH MEDICAL CLINIC SC (NPI# 1992921944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992921944 |
| Entity Type | Organization |
| Organization Name | SANDWICH MEDICAL CLINIC SC |
| Practice Address |
1310 North Main Str Ste 101 Sandwich IL 60548-1616 |
| Mailing Address |
1310 North Main Street Suite 101 Sandwich IL 60548-1616 |
| Practice Telephone | 8157862173 |
| Practice Fax Number | 8157862153 |
| Mailing Telephone | 8157862173 |
| Mailing Fax Number | 8157862153 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | DR. MARTIN BRAUWEILER (PRESIDENT) |
| Authorized Official Telephone | 8157862173 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1310 NORTH MAIN STR STE 101 |
| City | SANDWICH |
| State | IL |
| Zip Code | 60548-1616 |
| 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 | 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 |
|---|---|---|---|---|
| 1679581367 | Erik David Englehart | Family Medicine | 1310 N Main St Ste 200, Sandwich, IL 60548-1397 | 2006-08-04 |
| 1023059177 | Martin Paul Brauweiler | Family Medicine | 1310 N. Main St Ste 101, Sandwich, IL 60548-1616 | 2006-06-09 |
| 1023080132 | Dale S Grimes Md | Family Medicine | 15 W Pleasant Ave, Sandwich, IL 60548-1050 | 2006-02-02 |
| 1447243100 | Maria Dana Sutkus | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2005-08-29 |
| 1396741963 | Joel J Hass | Family Medicine | 74 Route 6a, Sandwich, MA 02563-1864 | 2005-06-28 |
| 1891175576 | Karissa Leeann Monney | Family Medicine | 1310 N Main St Ste 200, Sandwich, IL 60548 | 2015-06-08 |
| 1316183551 | Edward Health Ventures | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2008-12-17 |
| 1497878086 | Prairie Healthcare, Ltd | Family Medicine | 1 E Countyline Rd, Sandwich, IL 60548-2178 | 2007-04-09 |
| 1316070931 | Adele Luci Danny | Family Medicine | 142 Indian Springs Dr, Medicine Shoppe Pharmacy Corner Care Clinic, Sandwich, IL 60548-1902 | 2007-03-13 |
| 1033226626 | Sandwich Primary Care Associates, Inc | Family Medicine | 59 Temple Pl, Suite 612, Sandwich, MA 02563 | 2006-08-23 |
| Find all providers in SANDWICH | ||||
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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.