Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ksb Medical Group, Inc

Organization Anesthesiology Physician · NPI 1073592119

Ksb Medical Group, Inc is an Anesthesiology Physician in Dixon, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
14
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

403 E 1st St
Dixon, IL 61021-3116
Phone: (815) 285-5507
Fax: (815) 285-5859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Anesthesiology Physician Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Gastroenterology Physician Taxonomy 207RG0100X
Interventional Cardiology Physician Taxonomy 207RI0011X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1073592119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Austin Frazier — Cfo · (815) 285-5521
NPI enumeratedJanuary 16, 2006
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing addressPo Box 841330, Kansas City, MO 64184-1330

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