Organization
KSB MEDICAL GROUP, INC.
Active
Other names
KSB Center for Diabetes Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN T MARX (VICE PRESIDENT)
(815) 285-5508
Entity
Organization
Contact information
Practice address
215 E 1ST ST, STE 101, DIXON, IL 61021-3166
(815) 285-5973
(815) 285-5974
Mailing address
215 E 1ST ST, STE 101, DIXON, IL 61021-3166
(815) 285-5973
(815) 285-5974
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
08/22/2020
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