| Kishwaukee Internist Sc | |
|
2535 Bethany Rd Suite 201 Sycamore IL 60178-3126 | |
| (815) 754-0300 | |
| (815) 754-0400 |
| Full Name | Kishwaukee Internist Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2535 Bethany Rd, Sycamore, Illinois |
| Authorized Official Name and Position | Nausheen Asma Khan (OFFICE MANAGER) |
| Authorized Official Contact | 8157540300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kishwaukee Internist Sc 2535 Bethany Rd Suite 201 Sycamore IL 60178-3126 Ph: (815) 754-0300 | Kishwaukee Internist Sc 2535 Bethany Rd Suite 201 Sycamore IL 60178-3126 Ph: (815) 754-0300 |
| NPI Number | 1568651974 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568651974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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