| Fox Valley Internal Medicine | |
|
403 W Irving Park Rd Streamwood IL 60107-2851 | |
| (630) 830-1900 | |
| (630) 830-1904 |
| Full Name | Fox Valley Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 403 W Irving Park Rd, Streamwood, Illinois |
| Authorized Official Name and Position | Alan James Brongiel (ADMINISTRATOR) |
| Authorized Official Contact | 6308301900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Internal Medicine 403 W Irving Park Rd Streamwood IL 60107-2851 Ph: (630) 830-1900 | Fox Valley Internal Medicine 403 W Irving Park Rd Streamwood IL 60107-2851 Ph: (630) 830-1900 |
| NPI Number | 1740303312 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740303312 | NPI | - | NPPES |
| 21609105 | Other | IL | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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