Organization Active NPI

Fox Valley Children'S Medicine, S.C.

  • Pediatrics Physician
  • Batavia, IL
National Provider Identifier
1083628994
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FOX VALLEY CHILDREN'S MEDICINE, S.C.
Practice address
1180 W Wilson St
Suite B
Batavia, IL 60510-7611
Phone
(630) 208-3961
Fax
(630) 208-3970
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Jay Schulman, M.D.
Title
President
Phone
(630) 208-3961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X IL Primary

Addresses

Primary practice location

1180 W Wilson St
Suite B
Batavia, IL 60510-7611

Mailing address

1180 W Wilson St
Suite B
Batavia, IL 60510-7611
Phone (630) 208-3961

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083628994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 W WILSON ST",
            "address_2": "SUITE B",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107611",
            "telephone_number": "630-208-3961",
            "fax_number": "630-208-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W WILSON ST",
            "address_2": "SUITE B",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605107611",
            "telephone_number": "630-208-3961",
            "fax_number": "630-208-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY CHILDREN'S MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHULMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-208-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.