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Organization
FOX VALLEY IMMEDIATE CARE CENTER, LTD
Active
Organization
FOX VALLEY IMMEDIATE CARE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN TUEMGNE FOTSO MD (OWNER)
(847) 909-2590
Entity
Organization
Contact information
Practice address
151 DUNDEE AVE, SUITE C, EAST DUNDEE, IL 60118-1648
(847) 426-9396
(847) 426-1086
Mailing address
151 DUNDEE AVE, SUITE C, EAST DUNDEE, IL 60118-1648
(847) 426-9396
(847) 426-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
08/27/2014
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