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NPI Code Detail

MEDICARE: DR. DANNY M. SARTORE M.D.

MEDICARE: DR. DANNY M. SARTORE 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
1207L00000XAnesthesiology Physician036079801IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
208415040OTHERILBLUE CROSS BLUE SHIELD
3104409OTHERILHEALTHLINK GROUP NUMBER
432490OTHERILPERSONAL CARE
5178809OTHERILHEALTHLINK UPIN NUMBER
6085972OTHERILHEALTH ALLIANCE NUMBER
7L031806OTHERILTRICARE

General Provider Information

NPI Number : 1922096973
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANNY M. SARTORE M.D.
Provider Business Mailing Address
First Line : 4009 SURRY PLACE LN
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-8109
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W WALNUT ST
Second Line : PASSAVANT AREA HOSPITAL
City : JACKSONVILLE
State : IL
Zip : 62650-1136
Country : US
Telephone Number : 217-245-9541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 11/27/2023

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