Individual
DR. KENNETH R. SAGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SAINT JOHNS DR, SHERMAN, IL 62684-9779
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-092193
IL
208000000X
Pediatrics Physician
036092193
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092193
—
IL
Enumeration date
09/23/2006
Last updated
05/20/2020
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