| NPI | 1215001037 |
|---|---|
| Doing Business As | KANE COUNTY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TOM MITCHELL Administrator 435-644-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |