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James Joseph Sanders

Family Medicine

Allopathic & Osteopathic Physicians

2900 Foxfield Rd, St Charles, IL 60174-5799

PECOS Enrollment

This provider is enrolled in PECOS as JAMES SANDERS.

Based on the most recent information from CMS, provider James Joseph Sanders is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578537973
Provider Type
Individual
Full Name
Sanders, James Joseph
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
2/14/2006
Last Updated
5/14/2025

Contact Information

Practice Location

2900 Foxfield Rd, St Charles, IL 60174-5799

(630) 513-8275

(630) 513-9208

Mailing Location

2900 Foxfield Rd, St Charles, IL 60174-5799

(630) 513-8275

(630) 513-9208

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036-113487 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036113487	Description Medicaid	Issuer Unlisted Illinois
ID CA4748	Description Other	Issuer MEDICARE RAIL ROAD PTAN (GROUP) Illinois
ID P01157955	Description Other	Issuer MEDICARE RAIL ROAD PTAN (INDIVIDUAL) Illinois
ID 920540	Description Other	Issuer MEDICARE PTAN (GROUP) Illinois
ID 920540015	Description Other	Issuer MEDICARE PTAN (INDIVIDUAL) Illinois

James Joseph Sanders

PECOS Enrollment

Profile Details

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