Dba Kish Health Family Care | |
105 E Navaho Ave Shabbona IL 60550-0329 | |
(815) 824-2124 | |
(815) 824-2126 |
Full Name | Dba Kish Health Family Care |
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Speciality | Family Medicine |
Location | 105 E Navaho Ave, Shabbona, Illinois |
Authorized Official Name and Position | Joseph Dant (VICE PRESIDENT BUSINESS DEVELOPMENT) |
Authorized Official Contact | 8157561521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dba Kish Health Family Care Po Box 329 105 E Navaho Ave Shabbona IL 60550-0329 Ph: (815) 824-2124 | Dba Kish Health Family Care 105 E Navaho Ave Shabbona IL 60550-0329 Ph: (815) 824-2124 |
NPI Number | 1093898801 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1093898801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |