OrganizationActive
Sauk Valley Surgical, PC
NPI 1619192556 · Surgery Physician · Dixon, IL
Provider details
- NPI number
- 1619192556
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaquelyne Naylor, Office Manager(815) 288-1052
- License
- 036082587 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 S Hennepin Ave
Suite 120
Dixon, IL 61021-3083
Phone: (815) 288-1052
Fax: (815) 284-0584
Street-level locationGet directions
Mailing address
Po Box 514
Dixon, IL 61021-0514
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2010-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.