Fox Valley Internal Medicine, Llc is a
Internal Medicine based in Crystal Lake, Illinois. Fox Valley Internal Medicine, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
650 Dakota St, Suite A, Crystal Lake, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 455-6000.
NPI number for Fox Valley Internal Medicine, Llc is 1760476311 and their current mailing address is 650 Dakota St, Suite A, Crystal Lake, Illinois. Fox Valley Internal Medicine, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1760476311.
Healthcare Provider's Profile
Full Name | Fox Valley Internal Medicine, Llc |
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Type | Facility |
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Speciality | Internal Medicine |
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Location | 650 Dakota St, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760476311
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Fox Valley Internal Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760476311 | NPI | - | NPPES |
05632012 | Other | IL | B/C B/S GROUP NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fox Valley Internal Medicine, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fox Valley Internal Medicine, Llc 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 | Fox Valley Internal Medicine, Llc 650 Dakota St, Suite A, Crystal Lake, IL 60012-3744 Ph: (815) 455-6000 |
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