PRAIRIE STATE SPORTS MEDICINE CENTER, SC

ST CHARLES, IL
NPI1740324177
Entity TypeOrganization
Authorized ContactBRIAN BABKA
President
630-220-0625
Organization Subpart ?No
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: IL  036-105650)
Enumeration Date2007-02-18
Last Update Date2020-08-22
Business Address
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
2900 FOXFIELD RD
ST CHARLES, IL 60174-5799
Phone number: 630-220-0625
Mailing Address
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
1638 CHESTNUT HILL CT
SUGAR GROVE, IL 60554-9336
Phone number: