| Fox Ridge Medical Associates, Llc | |
|
3633 Municipal Dr Mchenry IL 60050-5434 | |
| (815) 861-5543 | |
| Not Available |
| Full Name | Fox Ridge Medical Associates, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3633 Municipal Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Jeffrey Tomlin (OWNER) |
| Authorized Official Contact | 7792443072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Ridge Medical Associates, Llc 3633 Municipal Dr Mchenry IL 60050-5434 Ph: (815) 861-5543 | Fox Ridge Medical Associates, Llc 3633 Municipal Dr Mchenry IL 60050-5434 Ph: (815) 861-5543 |
| NPI Number | 1205322716 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205322716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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