Prairie State Sports Medicine Center, Sc
NPI #1740324177 in St Charles, Illinois
Provider Information
- NPI Number
- 1740324177
- Entity Type
- Organization
- Organization Name
- Prairie State Sports Medicine Center, Sc
- Primary Specialty
- Neuromusculoskeletal Medicine, Sports Medicine
- Enumeration Date
- Feb 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2900 FOXFIELD RD
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-5799
- Phone
- (630) 220-0625
Authorized Official
- Name
- DR. BRIAN BABKA, MD
- Title
- PRESIDENT
- Phone
- (630) 220-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine, Sports Medicine |
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