Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fountain Medical Group SC

Organization Surgery Physician · NPI 1992777171

Fountain Medical Group SC provides Surgery Physician services in Sandwich, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

15 W Pleasant Ave
Sandwich, IL 60548-1050
Phone: (815) 786-2101
Fax: (815) 786-7745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (IL)

Record details

NPI number1992777171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Carey — President · (815) 786-2101
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address15 W Pleasant Ave, Sandwich, IL 60548-1050

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