Fox Prairie Medical Group P C
NPI #1093836827 in St Charles, Illinois
Provider Information
- NPI Number
- 1093836827
- Entity Type
- Organization
- Organization Name
- Fox Prairie Medical Group P C
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Nov 9, 2010
Practice Location
- Address
- 2560 FOXFIELD RD
- Address 2
- SUITE 160
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-5797
- Phone
- (630) 513-8734
Authorized Official
- Name
- STASIS KAHN, M.D.
- Title
- PARTNER
- Phone
- (630) 513-8734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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