Prairie State Sports Medicine Center, SC
Prairie State Sports Medicine Center, SC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician 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 |