Organization
FIFTH AVE PRIMARY CARE PHYSICIANS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE S THOMAS M.D. (OWNER)
(630) 584-1950
Entity
Organization
Contact information
Practice address
2570 FOXFIELD RD, SUITE 100, ST CHARLES, IL 60174-1406
(630) 584-1950
(630) 584-8994
Mailing address
2570 FOXFIELD RD, SUITE 100, ST CHARLES, IL 60174-1406
(630) 584-1950
(630) 584-8994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-003468
IL
Other
Enumeration date
09/28/2006
Last updated
09/22/2016
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