Prairie Healthcare, Ltd

NPI #1497878086 in Sandwich, Illinois

Provider Information

NPI Number: 1497878086
Entity Type: Organization
Organization Name: Prairie Healthcare, Ltd
Primary Specialty: Family Medicine
Enumeration Date: Apr 9, 2007
Last Updated: Feb 7, 2008

Practice Location

Address: 1 E COUNTYLINE RD
City: Sandwich
State: Illinois
ZIP Code: 60548-2178
Phone: (815) 786-2722

Authorized Official

Name: MS. DENISE A BRENNAN
Title: OFFICE MANAGER
Phone: (815) 786-2722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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