Organization
CRESCENT PRIMARY CARE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOWZIA S GHOUSE MD (PHYSICIAN)
(630) 922-1400
Entity
Organization
Contact information
Practice address
2132 DEEP WATER LN, STE 228, NAPERVILLE, IL 60564-8498
(630) 922-1400
(630) 904-7378
Mailing address
2132 DEEP WATER LN, STE 228, NAPERVILLE, IL 60564-8498
(630) 922-1400
(630) 904-7378
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2005
Last updated
08/22/2020
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