Active NPI
Steven P. Sawalich
- Specialist
- West Frankfort, IL
National Provider Identifier
1891881264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- IL0567
- Practice address
- 1000 Factory Outlet Blvd
Suite 103
West Frankfort, IL 62896-4179 - Phone
- (618) 937-6419
- Fax
- (618) 937-6410
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 | IL0567 | IL | Primary |
Addresses
Primary practice location
1000 Factory Outlet Blvd
Suite 103
West Frankfort, IL 62896-4179
Mailing address
PO Box 9
West Frankfort, IL 62896-0009
Phone (618) 937-6419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IL0567 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891881264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628960009",
"telephone_number": "618-937-6419",
"fax_number": "618-937-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FACTORY OUTLET BLVD",
"address_2": "SUITE 103",
"city": "WEST FRANKFORT",
"state": "IL",
"postal_code": "628964179",
"telephone_number": "618-937-6419",
"fax_number": "618-937-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWALICH",
"first_name": "STEVEN",
"middle_name": "P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "IL0567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.