| Leroy Oaks Family Medicine, P.c. | |
|
2435 Dean Street Suite C St. Charles IL 60175 | |
| (630) 377-8880 | |
| (630) 485-5129 |
| Full Name | Leroy Oaks Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2435 Dean Street, St. Charles, Illinois |
| Authorized Official Name and Position | Bhavesh A Shah (PRESIDENT) |
| Authorized Official Contact | 6303778880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leroy Oaks Family Medicine, P.c. 2435 Dean Street Suite C St. Charles IL 60175 Ph: (630) 377-8880 | Leroy Oaks Family Medicine, P.c. 2435 Dean Street Suite C St. Charles IL 60175 Ph: (630) 377-8880 |
| NPI Number | 1487727152 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487727152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
Fox Valley Adult And Pediatric Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Dean St. Ste G, St. Charles, IL 60174 Phone: 630-513-0298 |