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Organization
FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC
Active
Organization
FOX VALLEY INSTITUTE FOR GROWTH AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA LYNN BOKAR ED.D, LCPC, LMFT (OWNER)
(630) 718-0717
Entity
Organization
Contact information
Practice address
640 N RIVER RD, SUITE 108, NAPERVILLE, IL 60563-8949
(630) 718-0717
(630) 718-0747
Mailing address
640 N RIVER RD STE 108, NAPERVILLE, IL 60563-8947
(630) 718-0717
(630) 718-0747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000000
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002225381
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2006
Last updated
05/10/2019
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