OrganizationFifth Ave Primary Care Physicians ScFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2570 Foxfield Rd, Suite 100, St Charles, IL 60174-1406(630) 584-1950PECOS EnrollmentBased on the most recent information from CMS, provider Fifth Ave Primary Care Physicians Sc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215029467Provider TypeOrganizationFull NameFifth Ave Primary Care Physicians ScSubpartNoEnumeration Date9/28/2006Last Updated9/22/2016Contact InformationPractice LocationPractice Address2570 Foxfield Rd, Suite 100, St Charles, IL 60174-1406Phone(630) 584-1950Fax(630) 584-8994Mailing LocationMailing Address2570 Foxfield Rd, Suite 100, St Charles, IL 60174-1406Phone(630) 584-1950Fax(630) 584-8994Authorized OfficialNameThomas, Catherine S (Owner)Phone(630) 584-1950Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense042-003468Illinois