Provider Demographics
NPI:1881904811
Name:FOX VALLEY URGENT CARE, INC.
Entity type:Organization
Organization Name:FOX VALLEY URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SIFATUR
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAYEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-499-1900
Mailing Address - Street 1:3535 E NEW YORK ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-4427
Mailing Address - Country:US
Mailing Address - Phone:630-499-1900
Mailing Address - Fax:630-499-1903
Practice Address - Street 1:3535 E NEW YORK ST
Practice Address - Street 2:SUITE 115
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-4427
Practice Address - Country:US
Practice Address - Phone:630-499-1900
Practice Address - Fax:630-499-1903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036094039261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care