Fox Valley Immediate Care Center, LTD

Organization Active NPI Family Medicine Physician · East Dundee, IL

NPI 1780908178 · NPPES record last updated Aug 27, 2014

Key facts

NPI
1780908178
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
FOX VALLEY IMMEDIATE CARE CENTER, LTD
Practice address
151 Dundee Ave
Suite C
East Dundee, IL 60118-1648
Phone
(847) 426-9396
Fax
(847) 426-1086
NPI assigned
Mar 15, 2010
Organization subpart
No

Authorized official

Name
Dr. Carmen Tuemgne Fotso, MD
Title
Owner
Phone
(847) 909-2590

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

151 Dundee Ave
Suite C
East Dundee, IL 60118-1648

Mailing address

151 Dundee Ave
Suite C
East Dundee, IL 60118-1648
Phone (847) 426-9396

Other providers in East Dundee, IL

All providers in East Dundee, IL · Family Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.