Organization
ERIK ENGLEHART MD FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK DAVID ENGLEHART MD (OWNER)
(815) 786-7150
Entity
Organization
Contact information
Practice address
224 E RAILROAD ST, SANDWICH, IL 60548-2240
(815) 786-7150
(815) 786-7153
Mailing address
224 E RAILROAD ST, SANDWICH, IL 60548-2240
(815) 786-7150
(815) 786-7153
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036107672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209332
WPS/MEDICARE PART B
IL
01
—
DC4641
RAILROAD MEDICARE
IL
Enumeration date
02/12/2008
Last updated
01/20/2010
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