Fox River Pediatrics Sc

NPI 1710110473 - Pediatrics - 208000000X

NPI Details
NPI 1710110473
Enumeration Date 08/28/2009
Last Updated 09/05/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name AYEZAH AYEZAH
Position OWNER
Phone (630) 552-9852
Fax (630) 552-9857
Practice Location
11000 US HIGHWAY 34
SUITE 3
PLANO IL, 60545-9824, US
Phone (630) 552-9852
Fax (630) 552-9857
Business Location
11000 US HIGHWAY 34
SUITE 3
PLANO IL, 60545-9824, US
Phone (630) 552-9852
Fax (630) 552-9857
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036-112854
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According to our database, Fox River Pediatrics Sc NPI is 1710110473, taxonomy code is 208000000X and license number is 036-112854, license state is located at Illinois. Fox River Pediatrics Sc physically located at 11000 Us Highway 34, Plano IL, 60545-9824. NPI Number 1033115704 has the healthcare provider type.

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1710110473 NPI number is provided on an as is basis without warranty of any kind. 1710110473 is maintained by the National Plan & Provider Enumeration System. The contents of Fox River Pediatrics Sc are for informational purposes only.