KSB MEDICAL GROUP INC. NPI 1629046115

NPI Information

  • NPI: 1629046115
  • Provider Name: KSB MEDICAL GROUP, INC.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: KSB CENTER FOR DIABETES MANAGEMENT
  • Address: 215 E 1ST ST
    STE 101
    DIXON, IL
    ZIP 61021
  • Phone: (815) 285-5973

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NPI Details

KSB MEDICAL GROUP, INC. is a clinic center in Dixon, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KSB MEDICAL GROUP, INC. NPI is 1629046115. The provider is registered as an organization entity type.
The provider Is Doing Business As Ksb Center For Diabetes Management.

The provider's business location address is:

215 E 1ST ST
STE 101
DIXON, IL
ZIP 61021-166
Phone: (815) 285-5973
Fax: (815) 285-5974

The provider's authorized official is Kevin T Marx .
The authorized official title is Vice President and has the following contact phone number (815) 285-5508.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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