Organization
FOX VALLEY FAMILY PHYSICIANS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER D. CLADIS M.D. (PRESIDENT)
(630) 232-2200
Entity
Organization
Contact information
Practice address
2425 FARGO BLVD, GENEVA, IL 60134-3591
(630) 232-2200
(630) 232-1940
Mailing address
2425 FARGO BLVD, GENEVA, IL 60134-3591
(630) 232-2200
(630) 232-1940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042002259
IL
Other
Enumeration date
07/28/2005
Last updated
06/15/2010
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