Fox Valley Neurology Pc

LBN: Fox Valley Neurology Pc
Fox Valley Neurology Pc is an health care organization with primary practice located at 860 Summit St Ste 254, Elgin IL 60120-4339. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Fox Valley Neurology Pc can be contacted via phone (847) 695-8721, or through Gavino, Wayne R via phone (847) 695-8721.

Contact Information

Primary practice address
860 Summit St Ste 254 Elgin IL 60120-4339
Phone: (847) 695-8721
Fax: (847) 695-8755
Website:
Map and Directions
Authorized official contact:
Name: Gavino, Wayne R Doctor of Medicine (MD)
Phone: (847) 695-8721

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 060000735 Illinois

Profile Details

NPI number 1760416762
LBN Legal business name Fox Valley Neurology Pc
DBA Doing business as
Authorized official Gavino, Wayne R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760416762 NPPES
Illinois Other 1615763 BLUE CROSS BLUE SHIELD

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