Organization
FOX VALLEY IMMEDIATE CARE CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN TUEMGNE FOTSO MD (OWNER)
(847) 909-2590
Entity
Organization
Contact information
Practice address
151 DUNDEE AVE, SUITE C, EAST DUNDEE, IL 60118-1648
(847) 426-9396
(847) 426-1086
Mailing address
151 DUNDEE AVE, SUITE C, EAST DUNDEE, IL 60118-1648
(847) 426-9396
(847) 426-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
08/27/2014
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