| Fox Valley Internal Medicine, Llc | |
|
650 Dakota St Suite A Crystal Lake IL 60012-3744 | |
| (815) 455-6000 | |
| (815) 356-1104 |
| Full Name | Fox Valley Internal Medicine, Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 650 Dakota St, Crystal Lake, Illinois |
| Authorized Official Name and Position | Thomas G. Salvi (MANAGING MEMBER) |
| Authorized Official Contact | 8154556000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Internal Medicine, Llc 650 Dakota St Suite A Crystal Lake IL 60012-3744 Ph: (815) 455-6000 | Fox Valley Internal Medicine, Llc 650 Dakota St Suite A Crystal Lake IL 60012-3744 Ph: (815) 455-6000 |
| NPI Number | 1760476311 |
|---|---|
| Provider Enumeration Date | 09/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760476311 | NPI | - | NPPES |
| 05632012 | Other | IL | B/C B/S GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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