Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036144448 | IL |
N | 208600000X | Surgeon | 036144448 | IL |
N | 208200000X | Surgeon | 18284 | PR |
N | 208600000X | Surgeon | 18284 | PR |
Y | 2086S0120X | Pediatric Surgery | 036144448 | IL |
N | 2086S0120X | Pediatric Surgery | 18284 | PR |
N | 2086S0120X | Pediatric Surgery | 61083 | TN |
N | 2086S0120X | Pediatric Surgery | A157868 | CA |
NPI | 1336395904 |
---|---|
Provider Name | Carlos F Sanchez -Glanville |
First Address | Madera, CA 93636-8761 |
Second Address | Springfield, IL 62702-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2008 |
Last Update Date | 20/10/2020 |