Sandwich Medical Clinic SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANDWICH MEDICAL CLINIC SC

Practice address

1310 North Main STR
Ste 101
Sandwich, IL 60548-1616

Phone

(815) 786-2173

Fax

(815) 786-2153

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin Brauweiler, M.D.

Title

President

Phone

(815) 786-2173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1992921944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 NORTH MAIN STREET",
            "address_2": "SUITE 101",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481616",
            "telephone_number": "815-786-2173",
            "fax_number": "815-786-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NORTH MAIN STR",
            "address_2": "STE 101",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481616",
            "telephone_number": "815-786-2173",
            "fax_number": "815-786-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDWICH MEDICAL CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "BRAUWEILER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-786-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.