Sanuka Medical Center Sc
Family Medicine in Bartlett, IL. Organization (NPI-2).
NPI number1235259656
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1235259656
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanuka Medical Center Sc
- Organization subpart
- No
- Enumeration date
- Mar 30, 2007
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
114 Bartlett PlzBartlett, IL 60103-4234
Phone 630-483-0665 · Fax 630-483-0526
Mailing address
114 Bartlett PlzBartlett, IL 60103-4234
Phone 630-483-0665 · Fax 630-483-0526
Authorized official
Jorge Eduardo Martinez
President
6304830665
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