Fox Valley Internal Medicine, Llc

NPI 1760476311 - Physical Therapist - 225100000X

NPI Details
NPI 1760476311
Enumeration Date 09/09/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS G. THOMAS
Position MANAGING MEMBER
Phone (815) 455-6000
Fax (815) 356-1104
Practice Location
650 DAKOTA ST
SUITE A
CRYSTAL LAKE IL, 60012-3744, US
Phone (815) 455-6000
Fax (815) 356-1104
Business Location
650 DAKOTA ST
SUITE A
CRYSTAL LAKE IL, 60012-3744, US
Phone (815) 455-6000
Fax (815) 356-1104
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Fox Valley Internal Medicine, Llc NPI is 1760476311, taxonomy code is 225100000X Fox Valley Internal Medicine, Llc physically located at 650 Dakota St, Crystal Lake IL, 60012-3744. NPI Number 1033115704 has the healthcare provider type.

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1760476311 NPI number is provided on an as is basis without warranty of any kind. 1760476311 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Valley Internal Medicine, Llc are for informational purposes only.