Fox Valley Special Consultations

NPI 1790199008 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1790199008
Enumeration Date 06/13/2014
Last Updated 06/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SCOTT A. SCOTT
Position EXECUTIVE DIRECTOR
Phone (630) 896-4650
Fax
Practice Location
522 N LAKE ST
AURORA IL, 60506-3105, US
Phone (630) 896-4650
Fax
Business Location
522 N LAKE ST
AURORA IL, 60506-3105, US
Phone (630) 896-4650
Fax (630) 896-9367
Toxanomy
Taxonomy Code 251S00000X
License State Illinois
License Number A-1222-0003-A
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According to our database, Fox Valley Special Consultations NPI is 1790199008, taxonomy code is 251S00000X and license number is A-1222-0003-A, license state is located at Illinois. Fox Valley Special Consultations physically located at 522 N Lake St, Aurora IL, 60506-3105. NPI Number 1033115704 has the healthcare provider type.

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1790199008 NPI number is provided on an as is basis without warranty of any kind. 1790199008 is maintained by the National Plan & Provider Enumeration System. The contents of Fox Valley Special Consultations are for informational purposes only.