MEDICARE: REMIGIJUS SATKAUSKAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1760430524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REMIGIJUS SATKAUSKAS M.D.

Provider Business Mailing Address
First Line	:	101 S GALENA AVE
Second Line	:
City	:	WYOMING
State	:	IL
Zip	:	61491-1470
Country	:	US
Telephone Number	:	309-695-6448
Fax Number	:	309-695-6447

Provider Business Practice Location Address
First Line	:	101 S GALENA AVE
Second Line	:
City	:	WYOMING
State	:	IL
Zip	:	61491-1470
Country	:	US
Telephone Number	:	309-695-6448
Fax Number	:	309-695-6447

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/26/2007

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