| Fox Valley Behavioral Health, S.c. | |
|
902 S Randall Rd Suite C 187 St Charles IL 60174-1554 | |
| (630) 356-3621 | |
| (630) 377-3705 |
| Full Name | Fox Valley Behavioral Health, S.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 902 S Randall Rd, St Charles, Illinois |
| Authorized Official Name and Position | Jabeen Hussain (PRESIDENT) |
| Authorized Official Contact | 6303563621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Behavioral Health, S.c. 902 S Randall Rd Suite C 187 St Charles IL 60174-1554 Ph: (630) 356-3621 | Fox Valley Behavioral Health, S.c. 902 S Randall Rd Suite C 187 St Charles IL 60174-1554 Ph: (630) 356-3621 |
| NPI Number | 1427292994 |
|---|---|
| Provider Enumeration Date | 04/28/2009 |
| Last Update Date | 04/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427292994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 036098990 (Illinois) | Primary |
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