# GREATER VALLEY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861562175
- **Authorized official:** ROBERT E LANGMAN D.O. (PRESIDENT)
- **Authorized official phone:** (630) 208-3200

## Contact information

- **Practice address:** 2900 FOXFIELD RD, SUITE 307, ST CHARLES, IL 60174-5799
- **Practice address phone:** (630) 208-3200
- **Practice address fax:** (630) 208-3203
- **Mailing address:** 2900 FOXFIELD RD, SUITE 307, ST CHARLES, IL 60174-5799
- **Mailing address phone:** (630) 208-3200
- **Mailing address fax:** (630) 208-3203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 042-007606 | IL | — |
| 111NX0800X | Orthopedic Chiropractor | 042-007606 | IL | — |
| 207R00000X | Internal Medicine Physician | 042-007606 | IL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 04/23/2008