Kishwaukee Physician Group INC

NPI #1932480605 in Dekalb, Illinois

Provider Information

NPI Number: 1932480605
Entity Type: Organization
Organization Name: Kishwaukee Physician Group INC
Primary Specialty: General Practice
Enumeration Date: Sep 7, 2011
Last Updated: Apr 16, 2018

Practice Location

Address: 1 KISH HOSPITAL DR
City: Dekalb
State: Illinois
ZIP Code: 60115-9602
Phone: (815) 756-1521

Authorized Official

Name: MS. CHRISTINE ZYDEK
Title: DIRECTOR OF FINANCE
Phone: (815) 748-2986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Urology	208800000X
General Practice	208D00000X	Primary

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