Organization
FOX VALLEY NATURAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD FABBI JR. (OWNER)
(630) 803-8243
Entity
Organization
Contact information
Practice address
1831 MOORE CT, SAINT CHARLES, IL 60174-4596
(630) 803-8243
Mailing address
1831 MOORE CT, SAINT CHARLES, IL 60174-4596
(630) 803-8243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700053618
INDIVIDUAL NPI FOR RACHAEL ANN FABBI, DC
IL
Enumeration date
02/25/2010
Last updated
02/25/2010
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