Individual
ERIK DAVID ENGLEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 N MAIN ST STE 200, SANDWICH, IL 60548-1397
(815) 786-7150
(815) 786-3785
Mailing address
1310 N MAIN ST STE 200, SANDWICH, IL 60548-1397
(815) 786-7150
(815) 786-3785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-107672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-107672
—
IL
01
—
1932033
BLUE CHOICE
IL
01
—
80-0101372
CHAMPUS TRICARE
IL
01
—
DC4641
RAILROAD MEDICARE
IL
Enumeration date
08/04/2006
Last updated
03/27/2020
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