Fountain Medical Group Sc in Sandwich - Surgery
Fountain Medical Group Sc - NPI 1992777171
Fountain Medical Group Sc is a Surgery in Sandwich, Illinois. Fountain Medical Group Sc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Fountain Medical Group Sc is 1992777171. The last update date is 2020-08-22.
Fountain Medical Group Sc's current location address is 15 W Pleasant Ave, Sandwich, Illinois. You can contact this provider via phone number 8157862101 and fax number 8157867745. The mailing address for Fountain Medical Group Sc is 15 W Pleasant Ave, Sandwich, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fountain Medical Group Sc |
|---|---|
| Address | 15 W Pleasant Ave, Sandwich, Illinois |
| Phone Number | 8157862101 |
| Fax Number | 8157867745 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Carey Joseph Edwin |
| Credentials | MD |
| Telephone Number | 8157862101 |
NPI Number Detail
| NPI Number | 1992777171 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 15 W Pleasant Ave |
|---|---|
| City | Sandwich |
| State | Illinois (IL) |
| Post Code | 605481050 |
| Phone Number | 8157862101 |
| Fax Number | 8157867745 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Post Comment/ Review Below
What is the Fountain Medical Group Sc's unique identification number?
The Fountain Medical Group Sc has been assigned the NPI (National Provider Identifier) Number 1992777171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Fountain Medical Group Sc's physical address?
The Fountain Medical Group Sc is physically located at 15 W Pleasant Ave, in the city of Sandwich, IL, with the postal code 605481050.
What is Fountain Medical Group Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fountain Medical Group Sc's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
When was the Fountain Medical Group Sc's 1992777171 issued?
The Fountain Medical Group Sc's 1992777171 was issued on 2006-02-02.
As of what date was the information pertaining to Fountain Medical Group Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fountain Medical Group Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.