Organization
VALLEY MEDICAL INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
2340 DEAN ST, ST CHARLES, IL 60175-1065
(630) 584-9800
Mailing address
2475 DEAN ST, ST CHARLES, IL 60175-4831
(630) 584-9800
(630) 584-9805
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
09/30/2019
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