Provider Demographics
NPI:1235358920
Name:FOX VALLEY WOMEN & CHILDREN'S HEALTH PARTNERS LTD
Entity Type:Organization
Organization Name:FOX VALLEY WOMEN & CHILDREN'S HEALTH PARTNERS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT / FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-659-3001
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-0657
Mailing Address - Country:US
Mailing Address - Phone:630-897-6044
Mailing Address - Fax:630-897-0180
Practice Address - Street 1:3310 W MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-1000
Practice Address - Country:US
Practice Address - Phone:630-897-6044
Practice Address - Fax:630-897-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036088552207V00000X
IL036084545207VM0101X
IL036075844207VM0101X
IL036097453208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty