| Crescent Primary Care Physicians Pc | |
|
2132 Deep Water Ln Ste 228 Naperville IL 60564-8498 | |
| (630) 922-1400 | |
| (630) 904-7378 |
| Full Name | Crescent Primary Care Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2132 Deep Water Ln, Naperville, Illinois |
| Authorized Official Name and Position | Fowzia S Ghouse (PHYSICIAN) |
| Authorized Official Contact | 6309221400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Primary Care Physicians Pc 2132 Deep Water Ln Ste 228 Naperville IL 60564-8498 Ph: (630) 922-1400 | Crescent Primary Care Physicians Pc 2132 Deep Water Ln Ste 228 Naperville IL 60564-8498 Ph: (630) 922-1400 |
| NPI Number | 1104812742 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104812742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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