Fox Valley Neurology Pc

NPI 1760416762 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1760416762
Enumeration Date 07/10/2006
Last Updated 11/30/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WAYNE R WAYNE
Position PRESIDENT
Phone (847) 695-8721
Fax (847) 695-8755
Practice Location
860 SUMMIT ST
STE 254
ELGIN IL, 60120-4339, US
Phone (847) 695-8721
Fax (847) 695-8755
Business Location
860 SUMMIT ST
STE 254
ELGIN IL, 60120-4339, US
Phone (847) 695-8721
Fax (847) 695-8755
Toxanomy
Taxonomy Code 2084N0400X
License State Illinois
License Number 060000735
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According to our database, Fox Valley Neurology Pc NPI is 1760416762, taxonomy code is 2084N0400X and license number is 060000735, license state is located at Illinois. Fox Valley Neurology Pc physically located at 860 Summit St, Elgin IL, 60120-4339. NPI Number 1033115704 has the healthcare provider type.

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1760416762 NPI number is provided on an as is basis without warranty of any kind. 1760416762 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Valley Neurology Pc are for informational purposes only.