Prairie Health Care, Ltd

NPI #1871718551 in Sycamore, Illinois

Provider Information

NPI Number: 1871718551
Entity Type: Organization
Organization Name: Prairie Health Care, Ltd
Primary Specialty: Family Medicine
Enumeration Date: Apr 16, 2007
Last Updated: Feb 22, 2008

Practice Location

Address: 954 WEST STATE STREET
City: Sycamore
State: Illinois
ZIP Code: 60118
Phone: (815) 895-9144

Authorized Official

Name: MR. JOHN E KLOSOWSKI
Title: ADMINISTRATOR
Phone: (815) 895-9144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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