Organization
CENTER FOR FAMILY HEALTH
Active
Parent organization
KISHHEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
KISHHEALTH SYSTEM
Authorized official
MR. KEVIN POORTEN (CEO)
(815) 756-1521
Entity
Organization
Contact information
Practice address
165 E PLANK RD, SYCAMORE, IL 60178-8757
(815) 752-3253
(815) 752-3277
Mailing address
165 E PLANK RD, SYCAMORE, IL 60178-8757
(815) 752-3253
(815) 752-3277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/21/2009
Last updated
12/11/2012
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