FOX PRAIRIE MEDICAL GROUP P C

ST CHARLES, IL
NPI1093836827
Entity TypeOrganization
Authorized ContactSTASIS KAHN
Partner
630-513-8734
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036075143)
Enumeration Date2007-04-02
Last Update Date2010-11-09
Business Address
FOX PRAIRIE MEDICAL GROUP P C
2560 FOXFIELD RD SUITE 160
ST CHARLES, IL 60174-5797
Phone number: 630-513-8734
Mailing Address
FOX PRAIRIE MEDICAL GROUP P C
2560 FOXFIELD RD SUITE 160
ST CHARLES, IL 60174-5797
Phone number: 630-513-8734
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