Individual
JAMES JOSEPH SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Mailing address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 513-8275
(630) 513-9208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-113487
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113487
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540015
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
MEDICARE RAIL ROAD PTAN (GROUP)
IL
01
—
P01157955
MEDICARE RAIL ROAD PTAN (INDIVIDUAL)
IL
Enumeration date
02/14/2006
Last updated
05/14/2025
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