Individual
CARLOS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6000
Mailing address
1045 W STEPHENSON ST, PO BOX 857, FREEPORT, IL 61032-4864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-065681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065381
—
IL
Enumeration date
03/14/2006
Last updated
11/02/2017
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