St. Charles Family Medical Center, Sc
NPI #1912054891 in St Charles, Illinois
Provider Information
- NPI Number
- 1912054891
- Entity Type
- Organization
- Organization Name
- St. Charles Family Medical Center, Sc
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 110 S 17TH ST
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-2526
- Phone
- (630) 377-2800
Authorized Official
- Name
- DR. WILLIAM SCURLOCK
- Title
- PRESIDENT
- Phone
- (630) 377-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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