Fox Prairie Medical Group P C

LBN: Fox Prairie Medical Group P C
Fox Prairie Medical Group P C is an health care organization with primary practice located at 2560 Foxfield Rd Suite 160, St Charles IL 60174-5797. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Fox Prairie Medical Group P C can be contacted via phone (630) 513-8734, or through Kahn, Stasis via phone (630) 513-8734.

Contact Information

Primary practice address
2560 Foxfield Rd Suite 160 St Charles IL 60174-5797
Phone: (630) 513-8734
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kahn, Stasis Doctor of Medicine (MD)
Phone: (630) 513-8734

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036075143 Illinois

Profile Details

NPI number 1093836827
LBN Legal business name Fox Prairie Medical Group P C
DBA Doing business as
Authorized official Kahn, Stasis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093836827 NPPES
Illinois MEDICAID 036064522
Illinois MEDICAID 036075143
Illinois MEDICAID 036088803
Illinois Other 04532093

Popular Providers