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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