Doctors Egly and Associates PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

060.009347 036.10105 Issued in IL

Legal business name

DOCTORS EGLY AND ASSOCIATES PC

Practice address

11 E Pleasant Ave
Suite 129
Sandwich, IL 60548-1100

Phone

(815) 786-6988

Fax

(815) 786-1418

NPI assigned

Apr 12, 2007

Last updated

Mar 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin D Egly, MDNPI 1710092655

Title

Ceo

Phone

(815) 786-6988

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Kevin D Egly, M.D.

  • Internal Medicine Physician
  • Sandwich, IL
  • NPI 1710092655
  Medicare reassignment Care Compare group NPD Authorized official
• Angela M. Egly, M.D.

  • Internal Medicine Physician
  • Sandwich, IL
  • NPI 1063529295
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1881818664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WILLOWWOOD DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437505",
            "telephone_number": "815-786-6988",
            "fax_number": "815-786-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E PLEASANT AVE",
            "address_2": "SUITE 129",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481100",
            "telephone_number": "815-786-6988",
            "fax_number": "815-786-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS EGLY AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "EGLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-786-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "060.009347 036.10105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "01932032",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adele Luci Danny, D.O.
• Scott J Davis, NP-C
• Madison Rae Dawson
• Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)
• Dekalb Behavioral Health Foundation, Inc. (Northwestern Medicine Ben Gordon Center)
• Dot Drugs Inc (Ellis Family Pharmacy)
• Lindsey Dunsheath, FNP
• Edward Health Ventures
• Edward Health Ventures
• Colin Eggleson

• Internal Medicine Physician in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.