Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRAIRIE STATE SPORTS MEDICINE CENTER, SC
Active OrganizationPRAIRIE STATE SPORTS MEDICINE CENTER, SC is a Neuromusculoskeletal Medicine & OMM organization located in ST CHARLES, Illinois. NPI 1740324177 is currently active in the NPPES registry. Verify at CMS.
Neuromusculoskeletal Medicine & OMM · ST CHARLES, IL
Registration Details
- NPI Number
- 1740324177
- Provider Type
- Organization
- NPI Issued
- Feb 18, 2007 (19.520038627942 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
2900 FOXFIELD RDST CHARLES, IL, 601745799Browse IL providers · Browse ZIP 60174
- Phone
- 6302200625
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.