Organization
KISHWAUKEE PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE ZYDEK (DIRECTOR OF FINANCE)
(815) 748-2986
Entity
Organization
Contact information
Practice address
1850 GATEWAY DR, SYCAMORE, IL 60178-3192
(815) 758-8671
Mailing address
PO BOX 487, DEKALB, IL 60115-0487
(815) 758-8671
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
04/13/2018
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