Kevin D Sager, D.C.
Individual provider Active NPI Independent Medical Examiner Chiropractor · Sumner, IL
NPI 1356545859 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356545859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Medical Examiner Chiropractor 111NI0013X
- Practice address
- 102 S Christy Ave
Sumner, IL 62466-1027 - Phone
- (618) 936-3100
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007899 | IL | MD | Independent Medical Examiner Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | IL | Yes |
Addresses
Primary practice location
102 S Christy Ave
Sumner, IL 62466-1027
Mailing address
102 S Christy Ave
Sumner, IL 62466-1027
Phone (618) 936-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005122038 | Other | IL | BLUE CROSS BLUE SHIELD |
Other providers in Sumner, IL
- Kathy Cotterell
- Regina Hall-Ngorima
- Hickory Estates
- Hickory Estates
- Lynda Hoke
- Sara Stover
- Sumner Health Clinic, LTD.
- Traci Michelle Thomas
All providers in Sumner, IL · Independent Medical Examiner Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.