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Contact Information

FOX VALLEY OPHTHALMOLOGY
40W330 LAFOX RD
SAINT CHARLES, IL60175-6515
 Phone: 630-584-9850
 Fax: 630-584-1523
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for FOX VALLEY OPHTHALMOLOGY · (Female)

NPI Number 1528238854
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2008
Last updated 04/23/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 042002501
  • IL Other 04519570 BCBS
  • IL Other CL1986 MEDICARE RAILROAD
  • IL Other 379827 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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