Organization Active NPI

Fox Valley Wellness Center, LTD

  • Clinic/Center
  • St Charles, IL
National Provider Identifier
1265556369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FOX VALLEY WELLNESS CENTER, LTD
Practice address
2325 Dean St
Suite 400
Saint Charles, IL 60175-4810
Phone
(630) 584-3999
Fax
(630) 584-3301
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Lila Mary Honey
Title
Vice President
Phone
(630) 584-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2325 Dean St
Suite 400
Saint Charles, IL 60175-4810

Mailing address

2325 Dean St
Suite 400
Saint Charles, IL 60175-4810
Phone (630) 584-3999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265556369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST",
            "address_2": "SUITE 400",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "630-584-3999",
            "fax_number": "630-584-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST",
            "address_2": "SUITE 400",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "630-584-3999",
            "fax_number": "630-584-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY WELLNESS CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONEY",
        "authorized_official_first_name": "LILA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-584-3999",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.