ROBERT SAWICKI NPI 1184638009

Family Medicine in Peoria, IL

About ROBERT SAWICKI

Robert Sawicki is a provider in Peoria, IL. The NPI number assigned to this provider is 1184638009. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Robert Sawicki is registered with Medicare.

NPI1184638009 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name ROBERT SAWICKI
Provider Location Address2265 W ALTORFER DR PEORIA, IL 61615 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2265 W ALTORFER DR PEORIA, IL 61615 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-28-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-20-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ROBERT SAWICKI
2265 W ALTORFER DR
PEORIA, IL
ZIP 61615
Phone: (309) 683-7700
Fax: (309) 683-7752
Get Directions

Mailing Address

ROBERT SAWICKI
2265 W ALTORFER DR
PEORIA, IL
ZIP 61615
Phone: (309) 683-7700
Fax: (309) 683-7752

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.036069063
License StateIL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
833100MEDICARE ID-TYPE UNSPECIFIED (04)IL
809840OTHER (01)
C47664MEDICARE UPIN (02)IL
080039313MEDICARE ID-TYPE UNSPECIFIED (04)IL
L27019MEDICARE ID-TYPE UNSPECIFIED (04)IL
CA2264MEDICARE ID-TYPE UNSPECIFIED (04)IL
03609063MEDICAID (05)IL
809840065MEDICARE PIN (08)

Map Location


ROBERT SAWICKI address is 2265 W ALTORFER DR PEORIA, IL 61615

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023049574SAINT FRANCIS MEDICAL CENTER
Organization
Hospice Care, Community Based2265 W ALTORFER DR
PEORIA, IL 61615
(309) 683-7745
1265986574 JAMIE A HOLOCKER APN
Individual
Nurse Practitioner2265 W ALTORFER DR
PEORIA, IL 61615
(309) 696-3314
1346281425SAINT FRANCIS MEDICAL CENTER
Organization
Home Health2265 W ALTORFER DR
PEORIA, IL 61615
(309) 683-7716
1346788460 JANELLE M CALOW LCSW
Individual
Social Worker (Clinical)2265 W ALTORFER DR
PEORIA, IL 61615
(309) 696-3314
1366596850MRS. SUSAN RUTH UKLEJA RPH
Individual
Pharmacist2265 W ALTORFER DR
PEORIA, IL 61615
(309) 683-7700
1598048456MRS. LAURA A YOUNGMAN APN
Individual
Clinical Nurse Specialist (Adult Health)2265 W ALTORFER DR
PEORIA, IL 61615
(309) 683-7859
1750396461OSF SAINT FRANCIS, INC
Organization
Pharmacy (Home Infusion Therapy Pharmacy)2265 W ALTORFER DR
PEORIA, IL 61615
(309) 683-7700
1851834196 MEGAN THIBODEAU APN
Individual
Nurse Practitioner2265 W ALTORFER DR
PEORIA, IL 61615
(309) 370-9323
1982142923 VALERIE ROLAND LCSW
Individual
Social Worker (Clinical)2265 W ALTORFER DR
PEORIA, IL 61615
(309) 696-3314