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Organization
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
Active
Organization
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BABKA MD (PRESIDENT)
(630) 220-0625
Entity
Organization
Contact information
Practice address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 220-0625
Mailing address
1638 CHESTNUT HILL CT, SUGAR GROVE, IL 60554-9336
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
IL
Other
Enumeration date
02/18/2007
Last updated
08/22/2020
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