Provider Demographics
NPI:1760430524
Name:SATKAUSKAS, REMIGIJUS (MD)
Entity Type:Individual
Prefix:
First Name:REMIGIJUS
Middle Name:
Last Name:SATKAUSKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S GALENA AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:IL
Mailing Address - Zip Code:61491-1470
Mailing Address - Country:US
Mailing Address - Phone:309-695-6448
Mailing Address - Fax:309-695-6447
Practice Address - Street 1:101 S GALENA AVE
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:IL
Practice Address - Zip Code:61491-1470
Practice Address - Country:US
Practice Address - Phone:309-695-6448
Practice Address - Fax:309-695-6447
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG11220Medicare UPIN
IL208668Medicare PIN