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Organization

FOX VALLEY INTERNAL MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS G. SALVI M.D. (MANAGING MEMBER)
(815) 455-6000
Entity
Organization

Contact information

Practice address
650 DAKOTA ST, SUITE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-1104
Mailing address
650 DAKOTA ST, SUITE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-1104

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05632012
B/C B/S GROUP NUMBER
IL
Enumeration date
09/09/2005
Last updated
09/11/2025
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