MEDICARE: DR. PATRICK RAY SINCLAIR D.O.

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	207P00000X	Emergency Medicine Physician	70721-21	WI
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	70721-21	WI
3	207P00000X	Emergency Medicine Physician	036144308	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952788796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK RAY SINCLAIR D.O.

Provider Business Mailing Address
First Line	:	4N408 MARK TWAIN ST
Second Line	:
City	:	SAINT CHARLES
State	:	IL
Zip	:	60175-6522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 N MICHIGAN AVE
Second Line	:	APT. 2114
City	:	CHICAGO
State	:	IL
Zip	:	60601-7506
Country	:	US
Telephone Number	:	734-968-6076
Fax Number	:

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

Provider Enumeration Date	:	04/30/2015
Last Update Date	:	02/23/2026

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Directions to “ DR. PATRICK RAY SINCLAIR D.O.” Practice Location

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