Kevin D Egly in Sandwich - Internal Medicine

Kevin D Egly - NPI 1710092655

Kevin D Egly is a Internal Medicine in Sandwich, Illinois. Kevin D Egly practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin D Egly is 1710092655. The last update date is 2007-07-08.

Kevin D Egly's current location address is 11 E Pleasant Ave, Sandwich, Illinois. You can contact this provider via phone number 8157866988 and fax number 8157861418. The mailing address for Kevin D Egly is 11 E Pleasant Ave, Sandwich, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin D Egly
Address 11 E Pleasant Ave, Sandwich, Illinois
Phone Number 8157866988
Fax Number 8157861418
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1710092655
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11 E Pleasant Ave
City Sandwich
State Illinois (IL)
Post Code 605481100
Phone Number 8157866988
Fax Number 8157861418

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 36101052
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36101052 IL --

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FAQs about Kevin D Egly

What is the unique identifier code issued to Kevin D Egly by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin D Egly has been assigned the NPI (National Provider Identifier) 1710092655. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kevin D Egly's facilities are geographically located?

The facilities of Kevin D Egly are physically situated at the following location: 11 E Pleasant Ave, Sandwich, IL, 605481100.

What is Kevin D Egly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin D Egly is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1710092655 to Kevin D Egly?

The Kevin D Egly received its 1710092655 assignment from the Centers for Medicare & Medicaid Services on 2006-08-20.

As of what date were the Kevin D Egly's details last updated?

The information pertaining to the Kevin D Egly, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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