Active NPI
Bruce E Sands, M.D.
- Specialist
- Waukegan, IL
National Provider Identifier
1073611190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1324 N Sheridan Rd
Waukegan, IL 60085-2161 - Phone
- (847) 360-4023
- Fax
- (847) 360-4221
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Mailing address
11588 14TH Ave
Pleasant Prairie, WI 53158-4521
Phone (847) 436-0270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of California, a Medical Corporation | Current | Accepting new patients | |
| New Era Medical Services, LLC | Past | Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Past | Accepting new patients | |
| Midway Emergency Physicians, LLC | Past | Accepting new patients | |
| City of Hope Medical Group of Illinois PLLC | Specialist | Past | Accepting new patients |
Locations
2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055
3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500
21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1447397526
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1245263367
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1396842530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073611190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11588 14TH AVE",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531584521",
"telephone_number": "847-436-0270",
"fax_number": "262-948-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 N SHERIDAN RD",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852161",
"telephone_number": "847-360-4023",
"fax_number": "847-360-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "BRUCE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.