ST. CHARLES FAMILY MEDICAL CENTER, SC
NPI 1912054891
Specialist in St Charles, IL

Active since January 04, 2007
110 S 17TH ST, ST CHARLES, IL 60174(630) 377-2800(630) 377-6774 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Charles Family Medical Center, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CHARLES FAMILY MEDICAL CENTER, SC (NPI 1912054891) is a healthcare organization registered as a specialist in St Charles, Illinois and active in the NPI registry since January 2007. The organization lists William Scurlock, President, as its authorized official.

NPPES Registry Identity

NPI1912054891
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST. CHARLES FAMILY MEDICAL CENTER, SC
Location Address110 S 17TH STSt Charles, IL 60174-2526
Mailing Address110 S 17th StSt Charles, IL 60174-2526 · (630) 377-2800 · Fax (630) 377-6774
Fax(630) 377-6774
Organization SubpartNo
Authorized OfficialWilliam ScurlockPresident · (630) 377-2800
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 19, 2007
NPI 1912054891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
110 S 17TH ST, St Charles, IL 60174

Other Identifiers 2

Other667490IL · Medicare Group
Other03060113IL · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
110 S 17TH ST
ST CHARLES, IL 60174
Specialist
110 S 17TH ST
ST CHARLES, IL 60174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Charles Family Medical Center, Sc's NPI number?

The NPI number for St. Charles Family Medical Center, Sc is 1912054891. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is St. Charles Family Medical Center, Sc located?

St. Charles Family Medical Center, Sc is located at 110 S 17th St, St Charles, IL 60174. The listed phone number is (630) 377-2800.

What is St. Charles Family Medical Center, Sc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St. Charles Family Medical Center, Sc was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.