Organization
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BABKA MD (PRESIDENT)
(630) 220-0625
Entity
Organization
Contact information
Practice address
2900 FOXFIELD RD, ST CHARLES, IL 60174-5799
(630) 220-0625
Mailing address
1638 CHESTNUT HILL CT, SUGAR GROVE, IL 60554-9336
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
IL
Other
Enumeration date
02/18/2007
Last updated
08/22/2020
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