FIFTH AVE PRIMARY CARE PHYSICIANS SC NPI 1215029467

NPI Information

  • NPI: 1215029467
  • Provider Name: FIFTH AVE PRIMARY CARE PHYSICIANS SC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 2570 FOXFIELD RD
    SUITE 100
    ST CHARLES, IL
    ZIP 60174
  • Phone: (630) 584-1950

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NPI Details

FIFTH AVE PRIMARY CARE PHYSICIANS SC is a family medicine in St Charles, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FIFTH AVE PRIMARY CARE PHYSICIANS SC NPI is 1215029467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2570 FOXFIELD RD
SUITE 100
ST CHARLES, IL
ZIP 60174-406
Phone: (630) 584-1950
Fax: (630) 584-8994

The provider's authorized official is Catherine S Thomas .
The authorized official title is Owner and has the following contact phone number (630) 584-1950.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 9/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine042-003468ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G53490MEDICARE UPINILLINOIS
2H63050MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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