| Fifth Ave Primary Care Physicians SC | |
|
2570 Foxfield Rd Suite 100 St Charles IL 60174-1406 | |
| (630) 584-1950 | |
| (630) 584-8994 |
| Full Name | Fifth Ave Primary Care Physicians SC |
|---|---|
| Speciality | Family Medicine |
| Location | 2570 Foxfield Rd, St Charles, Illinois |
| Authorized Official Name and Position | Catherine S Thomas (OWNER) |
| Authorized Official Contact | 6305841950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fifth Ave Primary Care Physicians SC 2570 Foxfield Rd Suite 100 St Charles IL 60174-1406 Ph: (630) 584-1950 | Fifth Ave Primary Care Physicians SC 2570 Foxfield Rd Suite 100 St Charles IL 60174-1406 Ph: (630) 584-1950 |
| NPI Number | 1215029467 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 09/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215029467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-003468 (Illinois) | Primary |
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