Provider Demographics
NPI:1780748228
Name:VALLEY FAMILY MEDICINE, S.C.
Entity type:Organization
Organization Name:VALLEY FAMILY MEDICINE, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CALABRIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-513-8275
Mailing Address - Street 1:2900 FOXFIELD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-5799
Mailing Address - Country:US
Mailing Address - Phone:630-513-8275
Mailing Address - Fax:630-513-9208
Practice Address - Street 1:2900 FOXFIELD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-5799
Practice Address - Country:US
Practice Address - Phone:630-513-8275
Practice Address - Fax:630-513-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty