OrganizationActive
Ksb Medical Group, Inc.
NPI 1629046115 · Clinic/Center · Dixon, IL
Provider details
- NPI number
- 1629046115
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Marx, Vice President(815) 285-5508
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
215 E 1st St
Ste 101
Dixon, IL 61021-3166
Phone: (815) 285-5973
Fax: (815) 285-5974
Street-level locationGet directions
Mailing address
215 E 1st St
Dixon, IL 61021-3166
Other names (DBA / former)
- Doing business as
- Ksb Center for Diabetes Management
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.