Organization
FOX VALLEYPEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URMILA TALSANIA MD (PRESIDENT)
(630) 844-9963
Entity
Organization
Contact information
Practice address
143 S LINCOLN AVE, STE- L, AURORA, IL 60505-4263
(630) 844-9963
(630) 844-9973
Mailing address
143 S LINCOLN AVE, STE- L, AURORA, IL 60505-4263
(630) 844-9963
(630) 844-9973
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036060723
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060723
—
IL
Enumeration date
10/07/2008
Last updated
10/07/2008
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