| Fox Valleypediatrics | |
|
143 S Lincoln Ave Ste- L Aurora IL 60505-4263 | |
| (630) 844-9963 | |
| (630) 844-9973 |
| Full Name | Fox Valleypediatrics |
|---|---|
| Speciality | Clinic/center |
| Location | 143 S Lincoln Ave, Aurora, Illinois |
| Authorized Official Name and Position | Urmila Talsania (PRESIDENT) |
| Authorized Official Contact | 6308449963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valleypediatrics 143 S Lincoln Ave Ste- L Aurora IL 60505-4263 Ph: (630) 844-9963 | Fox Valleypediatrics 143 S Lincoln Ave Ste- L Aurora IL 60505-4263 Ph: (630) 844-9963 |
| NPI Number | 1841441953 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841441953 | NPI | - | NPPES |
| 036060723 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 036060723 (Illinois) | Primary |
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