Lillian Sandic Jardine in South Bend - Family Medicine
Lillian Sandic Jardine - NPI 1720188956
Lillian Sandic Jardine is a Family Medicine in South Bend, Indiana. Lillian Sandic Jardine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lillian Sandic Jardine is 1720188956. The last update date is 2015-06-09.
Lillian Sandic Jardine's current location address is 5735 S Ironwood Rd, South Bend, Indiana. You can contact this provider via phone number 5742994847 and fax number 5742999073. The mailing address for Lillian Sandic Jardine is 5735 S Ironwood Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lillian Sandic Jardine |
|---|---|
| Address | 5735 S Ironwood Rd, South Bend, Indiana |
| Phone Number | 5742994847 |
| Fax Number | 5742999073 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720188956 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2015-06-09 |
Provider Mailing Address Detail
| Address | 5735 S Ironwood Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466149668 |
| Phone Number | 5742994847 |
| Fax Number | 5742999073 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01061418A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1720188956 | MI | -- |
Post Comment/ Review Below
What is the Lillian Sandic Jardine's 1720188956?
The Lillian Sandic Jardine's NPI (National Provider Identifier) Number is 1720188956. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lillian Sandic Jardine?
The Lillian Sandic Jardine is physically situated at 5735 S Ironwood Rd, in the city of South Bend, state of IN, with the postal code 466149668.
What is Lillian Sandic Jardine's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lillian Sandic Jardine's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the Lillian Sandic Jardine's 1720188956 issued?
The Lillian Sandic Jardine's 1720188956 was issued on 2006-09-25.
When was the information pertaining to Lillian Sandic Jardine most recently updated or revised?
The details related to Lillian Sandic Jardine, including its address, specialty, and other relevant information, were last updated or revised on 2015-06-09.