Organization
FOX VALLEY FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER D CLADIS M.D. (OWNER)
(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
363L00000X
Nurse Practitioner
Primary
209011869
IL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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