Active NPI
Sauk Medical Clinic
- Family Medicine Physician
- Sterling, IL
National Provider Identifier
1184689044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAUK MEDICAL CLINIC
- Practice address
- 705 W Third Street
Sterling, IL 61081 - Phone
- (815) 626-2088
- Fax
- (815) 626-5837
- NPI assigned
- Apr 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darlene K Speers
- Title
- Office Manager
- Phone
- (815) 626-2088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
705 W Third Street
Sterling, IL 61081
Mailing address
705 W Third Street
Sterling, IL 61081
Phone (815) 626-2088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01618391 | Other | BLUE CROSS BLUE SHIELD | |
| 4616734 | Other | AETNA |
National Provider Directory
National Provider Directory- Tax ID family
- Sauk Medical Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Dekalb, IL
- NPI 1992760854
Locations
705 W 3rd St
Sterling, IL 61081
Phone (815) 626-2088
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Prophetstown, IL
- NPI 1700986320
-
- Emergency Medicine Physician
- Carol Stream, IL
- NPI 1508847872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184689044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 W THIRD STREET",
"city": "STERLING",
"state": "IL",
"postal_code": "61081",
"telephone_number": "815-626-2088",
"fax_number": "815-626-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 W THIRD STREET",
"city": "STERLING",
"state": "IL",
"postal_code": "61081",
"telephone_number": "815-626-2088",
"fax_number": "815-626-5837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAUK MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPEERS",
"authorized_official_first_name": "DARLENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "815-626-2088"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01618391",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4616734",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.