Jaime F Sanz, MD
Individual provider Active NPI Internal Medicine Physician · Belvidere, IL
NPI 1508937772 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1508937772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036065649 (IL)
- Practice address
- 1700 Henry Luckow LN
Belvidere, IL 61008 - Phone
- (779) 696-8650
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Immediate Care LTD | Past | Accepting new patients |
Interoperability endpoints
- jsanzmd914114@direct.uwhealth.org
- dloke1262758@direct.uwhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036065649 | IL | Yes |
Addresses
Primary practice location
1700 Henry Luckow LN
Belvidere, IL 61008
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036065649 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsanzmd914114@direct.uwhealth.org |
Other providers in Belvidere, IL
- Istref Sam Sabani
- Saint Anthony Medical Center
- Jose Sanchez Gomez
- Alexandra Sandager
- William Sandoval
- Sapphire at Maple Crest LLC
- Sapphire at Northwoods LLC
- Atisak Sapying
- Gary K. Sawyers
- Patricia Greve Scherf
All providers in Belvidere, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. 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.