Organization
ASSOCIATED PEDIATRICS OF FOX VALLEY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE M CROFT (OFFICE MANAGER)
(630) 952-2057
Entity
Organization
Contact information
Practice address
2121 RIDGE AVE, STE 101, AURORA, IL 60504-4273
(630) 820-7100
(630) 264-2524
Mailing address
2121 RIDGE AVE STE 101, AURORA, IL 60504-7001
(630) 820-7100
(630) 264-2524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D42-617396
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040569
—
IL
05
—
036085712
—
IL
05
—
036090032
—
IL
05
—
036114657
—
IL
05
—
036122395
—
IL
05
—
036134476
—
IL
05
—
538824101
—
IL
Enumeration date
07/05/2005
Last updated
12/10/2014
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