Prairie State Sports Medicine Center, SC
Prairie State Sports Medicine Center, SC provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
2900 Foxfield RdSt Charles, IL 60174-5799
Phone: (630) 220-0625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) | Taxonomy 204C00000X (IL) |
|---|
Record details
| NPI number | 1740324177 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Babka — President · (630) 220-0625 |
| NPI enumerated | February 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1638 Chestnut Hill Ct, Sugar Grove, IL 60554-9336 |