Organization
FOX VALLEY PHYSICIAN SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W BOER DC PAC (OWNER)
(630) 966-2637
Entity
Organization
Contact information
Practice address
23 N LINCOLNWAY, NORTH AURORA, IL 60506-1635
(630) 966-2637
(630) 966-1611
Mailing address
23 N LINCOLNWAY, NORTH AURORA, IL 60506-1635
(630) 966-2637
(630) 966-1611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532434
BCBS
IL
Enumeration date
05/14/2007
Last updated
09/06/2012
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