Prairie Trail Family Medicine Sc
NPI #1003031352 in Warrenville, Illinois
Provider Information
- NPI Number
- 1003031352
- Entity Type
- Organization
- Organization Name
- Prairie Trail Family Medicine Sc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Feb 21, 2022
Practice Location
- Address
- 2S661 ANGELINE CT
- City
- Warrenville
- State
- Illinois
- ZIP Code
- 60555-1301
- Phone
- (630) 341-1246
Authorized Official
- Name
- MRS. PAULINE N HARDING, M.D.
- Title
- PRESIDENT
- Phone
- (630) 341-1246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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