NPI 1740324177
Prairie State Sports Medicine Center, Sc
Practice location
- Address
- 2900 Foxfield Rd, St Charles, IL 60174-5799
- Phone
- (630) 220-0625
- Mailing address
- 1638 Chestnut Hill CT, Sugar Grove, IL 60554-9336
Authorised official
- Name
- Brian Babka
- Title
- President
- Phone
- (630) 220-0625
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1740324177
- Entity type
- Organization
- NPI issued
- 18 Feb 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.