Fox Valley Pain Center Service Corporation

NPI 1114037066 - Pain Medicine - 208VP0000X

NPI Details
NPI 1114037066
Enumeration Date 08/30/2006
Last Updated 11/11/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUNDARARAJ R SUNDARARAJ
Position PRESIDENT
Phone (847) 888-4432
Fax (847) 888-4436
Practice Location
1710 N RANDALL RD
370
ELGIN IL, 60123-9400, US
Phone (847) 888-4432
Fax (847) 888-4436
Business Location
507 WEXFORD CT
ST CHARLES IL, 60175-5655, US
Phone (630) 584-8381
Fax (630) 524-9018
Toxanomy
Taxonomy Code 208VP0000X
License State Illinois
License Number 036077595
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According to our database, Fox Valley Pain Center Service Corporation NPI is 1114037066, taxonomy code is 208VP0000X and license number is 036077595, license state is located at Illinois. Fox Valley Pain Center Service Corporation physically located at 1710 N Randall Rd, Elgin IL, 60123-9400. NPI Number 1033115704 has the healthcare provider type.

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1114037066 NPI number is provided on an as is basis without warranty of any kind. 1114037066 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Valley Pain Center Service Corporation are for informational purposes only.