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Contact Information

FOX VALLEY PAIN CENTER SERVICE CORPORATION
1710 N RANDALL RD
370
ELGIN, IL60123-9400
 Phone: 847-888-4432
 Fax: 847-888-4436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for FOX VALLEY PAIN CENTER SERVICE CORPORATION

NPI Number 1114037066
LBN Legal business name FOX VALLEY PAIN CENTER SERVICE CORPORATION
Authorized official SUNDARARAJ CHERALA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 11/11/2010 - About 16 years ago
Identifiers
IL License # 036077595
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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